Three Different Anesthesia Approaches in Blepharoptosis Surgery

Abstract

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Evaluating the Correlation between Ptosis Improvement and Immediate Postoperative Lagophthalmos following Blepharoptosis Surgery under General Anesthesia in Pediatric Patients

“…Consistent with other studies on blepharoptosis, our research also treated surgeries performed on both eyes as distinct procedures, enabling us to analyze the improvement in each eyelid separately [12,15,16,23]. However, this methodology is not without potential inaccuracies.…”

“…The anesthetic approach used can also affect the outcome. The choice of anesthesia is predominantly determined by the patient's ability to cooperate during the surgery rather than by preoperative measurements such as MRD1 or levator muscle function [12]. Specifically, young children, who often cannot cooperate during surgical procedures, typically require general anesthesia.…”

“…Therefore, in the case of levator surgery, the extent by which the levator muscle is to be pulled and secured to the tarsus is determined before the operation, depending on the degree of ptosis and levator function [15]. In the case of the frontalis sling operation, the immediate postoperative degrees of lagophthalmos (IPDL) to be achieved is also predetermined [12], as the IPDL has been used as a predictive value of ptosis correction [16] when patient cooperation is unattainable. However, it remains unclear whether this correlation between the IPDL and the extent of ptosis correction as measured by MRD1 value translates to the pediatric population.…”