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2016, Number 1

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Medicentro 2016; 20 (1)

Clinico-surgical behavior of blepharoptosis in the Oculoplastic Surgery consultation

Negrin-Cáceres Y, Cabrera-Romero AC, Cárdenas-Monzón L, Figueroa-Padilla M

Language: Spanish
References: 20
Page: 18-26
PDF size: 337.95 Kb.


ABSTRACT

Objective: to characterize clinico -surgical behavior of blepharoptosis.
Methods: an analytical observational study of 95 affected eyelids was carried out in 67 patients. Gender, age, affected eye, etiology, ptosis grade, pre and postoperative palpebral aperture, surgery performed and complications were regarded.
Results: there were 40 male patients and 27 female. The mean age was 60 ± 22 years. In 39 patients it was presented unilateral type (58,2%), 32,8% had affectation in the left eye; 71,6% presented aponeurotic ptosis. The moderate degree affected the 56,7%. Aponeurotic repair was practiced in 48 patients, with mean preoperative palpebral aperture of 6,25 ± 0,6 mm and postoperative of 10,9 ± 0,6 mm; levator resection in 10 patients, with mean preoperative palpebral aperture of 5,3 ± 0,7 mm and postoperative of 9,7 ± 2,1mm; frontalis suspension in 9 patients, with mean preoperative palpebral aperture of 4.6 ± 0.7 mm and postoperative of 9,4 ± 1,4 mm; there was a statistically significant difference of the pre and postoperative palpebral aperture in each technique. There were no complications in the 89,6%.
Conclusion: blepharoptosis prevailed in male of the third age, being more frequent in left eye. Aponeurotic etiology represented the highest percent. Aponeurosis repair was the main technique performed; average palpebral aperture value was significantly higher after applying the three surgical techniques. Functional and esthetic result was evaluated as good.


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