Cosmetic outcome of three sutures levator aponeurosis tuck procedure in congenital ptosis.

OBJECTIVE

To determine the results of three sutures aponeurosis tuck procedure in patients with congenital ptosis.

DESIGN

A quasi-experimental study.

PLACE AND DURATION OF STUDY

Department of Ophthalmology, Khyber Teaching Hospital, Peshawar from January 2004 to January 2005.

PATIENTS AND METHODS

Twenty-four eyes of 20 patients (13 males and 7 females) with congenital ptosis were included in the study. All these lids had either good or fair levator function. Amount of ptosis in all lids were measured before surgery and their mean calculated. Single surgeon performed the three sutures levator aponeurosis tuck procedure on all these lids. Degree of ptosis, after surgery was measured on multiple occasions and mean of measures of last follow-up was calculated. At this stage, the patients' satisfaction level was also documented.

RESULTS

Mean amount of ptosis was 3.25 +/-0.99 mm before surgery and 0.33 +/- 0.56 mm after surgery (p < 0.0001). Satisfaction level of 18 (90%) patients was 70-90%, while in 2 (10%) patients it was 50-60%.

CONCLUSION

Levator aponeurosis tuck procedure had good cosmetic outcome in patients with congenital ptosis having good and fair levator function in this series.