Journal of Current Medical Research and Practice

ORIGINAL ARTICLE
Year
: 2017  |  Volume : 2  |  Issue : 3  |  Page : 167--172

Levator recession with adjustable sutures in management of upper eyelid retraction


Omar Mohammed Ali, Abd El-Nasser A. Mohammed, Hazem Abdel EL-Motaal Hazem, Shymaa Kamel Ibrahim 
 Department of Ophthalmology, Assiut University, Egypt

Correspondence Address:
Shymaa Kamel Ibrahim
Department of Opthlmolgy, 6th Floor, Assiut University Hospital, Assiut 71516
Egypt

Purpose To assess the efficacy of levator recession with adjustable sutures in treatment of upper eyelid retraction. Patients and Methods Patients with upper eyelid retraction were included in this prospective, non-randomized, interventional case series study. All patients underwent correction of upper eyelid retraction with levator recession using adjustable sutures ,and were followed up every week for a month, then monthly for three months. In each visit, the margin reflex distance (MRD1) and palpebral fissure (PF) were measured. Results The included patients of the present work were classified into 3 groups: Group A: lid retraction secondary to over correction of ptosis, group B: thyroid related lid retraction, and group C congenital lid retraction. Among the 17 patients that participated in the follow-up examination, mean age ± SD was 21.12 ± 13.73 years (range 7–52 years). Eight were males and nine were females. Mean ± SD (range) of central height of the palpebral fissure was 13.79 ± 1.37 mm (10–16 mm) preoperatively, and 11.04 mm (9–12 mm) at follow up. Mean ± SD (range) of MRD1 was 6.77 ± 0.86 mm (5–8 mm) preoperatively, and 4.78 mm (4.5–5 mm) at follow-up. Conclusion Levator recession with adjustable sutures is effective technique in treatment of upper eyelid retraction of all degrees with different causes. However,increase the number of cases with long term follow up are recommended.


How to cite this article:
Ali OM, A. Mohammed AE, EL-Motaal Hazem HA, Ibrahim SK. Levator recession with adjustable sutures in management of upper eyelid retraction.J Curr Med Res Pract 2017;2:167-172


How to cite this URL:
Ali OM, A. Mohammed AE, EL-Motaal Hazem HA, Ibrahim SK. Levator recession with adjustable sutures in management of upper eyelid retraction. J Curr Med Res Pract [serial online] 2017 [cited 2018 Jul 19 ];2:167-172
Available from: http://www.jcmrp.eg.net/article.asp?issn=2357-0121;year=2017;volume=2;issue=3;spage=167;epage=172;aulast=Ali;type=0