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Abstract Background Blepharoptosis can be cosmetically distressing and obstruct upper visual fields. We aimed to examine the preoperative, intraoperative and postoperative characteristics of various ptosis repair surgeries at a major referral center Methods We retrospectively reviewed patients > 18 years of age who underwent ptosis repair surgery between February 2009 and December 2021 at a tertiary center. Congenital cases were excluded. Sub-analysis by ptosis type, surgical technique, and anterior vs. posterior approach surgery was performed. Main outcome measures included residual ptosis defined as Margin-to-Reflex Distance 1 < 2.5 mm at last follow-up, as well as clinically significant residual ptosis requiring re-do surgery. Results A total of 260 patients were included, with mean follow up of 259 ± 30 days (28–3771 days). Main indication for ptosis surgery was aponeurotic (222 patients). 164 (63.1%) patients underwent Müller's Muscle-Conjunctival Resection, 51 (19.6%) Fasanella-Servant, 35 underwent External Levator Advancement (13.5%), and 10 (3.8%) Frontalis-Sling suspension. Post-op residual ptosis and need for correction was seen in 66 eyes (25.4%) and 48 eyes (18.5%), respectively; however, differences were not significant between groups when analyzing by ptosis type (p ≥ 0.116), surgery type (p ≥ 0.444) and anatomical approach (p = 0.835). Conclusions No significant differences in residual ptosis, as well as referral for re-do surgery were shown between groups when analyzed by ptosis type, surgical choice, as well as anterior vs. posterior approach surgery. Ptosis corrective surgery can be completed using a variety of techniques with good success given that the correct surgical candidate and surgery are chosen.
Arazi et al. (Thu,) studied this question.