Early postoperative adjustment of blepharoptosis.

The challenge of accurately predicting eyelid height after blepharoptosis surgery is a well-known problem even in competent hands. From May 1988 to December 2004, the authors reviewed 182 cases (240 eyes) of blepharoptosis corrected by frontalis muscle transfer or levator resection and had experienced 10 cases (15 eyelids) of early adjustment around 1 week. The period from initial operation to adjustment is between 6 and 8 days, and the mean period is 7 days. Initial operative procedures were frontalis muscle transfer in 3 cases (4 eyelids) and levator resection in 7 cases (11 eyelids). Follow-up period ranged from 6 months to 16 years. Early postoperative adjustment was performed in accordance with the preoperative and postoperative degree of ptosis of the patient and considering previous operative technique. The results are evaluated according to the criteria of an ideal correction by Souther and Jordan. Seven patients had good or satisfactory results (less than 1 mm asymmetry, good in 5 cases and satisfactory in 2 cases). Three patients (5 eyelids) were recorded as poor results (more than 2 mm asymmetry). Even if early or late reoperation can be effective in correcting unsatisfactory results after correction of blepharoptosis, early reoperation is better than later reoperation because early reoperation can offer a reduction in time to final result, the ease with which it is performed, potential cost savings. The experience of the surgeon is also an important factor for the treatment of recurred blepharoptosis.