Fatty degeneration of upper tarsal muscle as etiological factor of acquired upper eyelid ptosis

Катаев, М Г; Dzagurova, Z. R.; Захарова, М. А.; Шахматова, А. В.; Biryukova, Yu. E.; Sy, Nechesnyuk

doi:10.17116/oftalma201913502148

Cited by 4 publications

(1 citation statement)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…В настоящее время в литературе описано множество методик хирургического лечения птоза верхнего века, таких как транскутанная резекция мышцы, поднимающей верхнее веко, укорочение леватора посредством выполнения дупликатуры, подвешивание мышцы, поднимающей верхнее веко, к лобной мышце с использованием различных материалов для подвешивания [7,8]. В частности, группой авторов был предложен способ хирургического лечения блефароптоза, заключающийся в дозированной мышечно-конъюнктивальной резекции хряща верхнего века [1,[9][10][11].…”

Section: актуальностьunclassified

Results of surgical treatment of ptosis of the upper eyelid by the dosed muscle-conjunctival resection of the upper cartilage

Бикбов

Ishbulatov

Lukyanova

2023

Acta biomedica scientifica

View full text Add to dashboard Cite

Blepharoptosis is an abnormally low position of the upper eyelid in relation to the eyeball due to its omission. The method of surgical treatment of blepharoptosis depends on the function of the levator.The aim. To analyze the results of surgical treatment of partial blepharoptosis of various etiology by the dosed muscle-conjunctival resection of the upper eyelid cartilage.Material and methods. We operated 78 patients (82 eyes) with blepharoptosis, among them with congenital blepharoptosis – 34 people (36 eyes), with acquired – 44 (46 eyes). The patients’ age was from 6 to 82 years.Inclusion criteria: the function of the upper eyelid levator – more than 5 mm, the width of the palpebral fissure – 3 mm or more.The patients underwent a dosed muscle-conjunctival resection of the upper eyelid cartilage in the period from 2018 to 2021. The follow-up period ranged from 2 months to 2 years.Results. Elimination of blepharoptosis was achieved in all patients. With congenital blepharoptosis, a good result was obtained in 33 people (91.7 %), satisfactory – in three patients (8.3 %), which was associated with the asymmetry of the palpebral fissure, for the correction of which these patients underwent additional intervention. In patients with acquired ptosis of the upper eyelid, a good result was achieved in 91.3 % of cases (42 eyes). One patient underwent repeated surgery due to hypocorrection and asymmetry of the palpebral fissure width after the first surgery.In all patients, the result remained stable throughout the observation period.Conclusion. The use of the method of dosed muscle-conjunctival resection of the upper eyelid cartilage in patients with partial ptosis of the upper eyelid and intact levator function made it possible to obtain a good cosmetic and functional result: with congenital blepharoptosis – in 91.7 % of cases, acquired ptosis of the upper eyelid – in 91.3 % patients.

show abstract

Section: актуальностьunclassified