Background: Conventional anterior ptosis correction typically creates an iatrogenic double eyelid, which may be undesirable for patients who wish to preserve single-eyelid morphology. It may also leave a conspicuous scar. This study evaluates a modified eyelid-margin incision technique to correct ptosis while concealing the scar and maintaining a single-eyelid appearance. Methods: The authors retrospectively reviewed 21 patients (33 eyes) with congenital ptosis who underwent ptosis correction by a palpebral margin incision. Preoperative and postoperative margin reflex distance 1 (MRD1) and palpebral fissure height (PFH) were evaluated. Patients were followed up to document postoperative complications. In addition, a satisfaction survey was conducted to assess the surgical outcome. Results: Postoperative follow-up ranged from 6 months to 4 years. The technique demonstrated significant functional improvement: the mean MRD1 increased from 0.30±0.92 mm to 3.48±0.51 mm, and the mean PFH increased from 5.06±1.00 mm to 9.15±0.76 mm ( P <0.05). The overall satisfaction rate was 90.5%. Complications were rare, limited to a single case of conjunctival prolapse. Conclusion: The palpebral margin incision technique effectively corrects congenital ptosis and widens the palpebral fissure, while concealing the scar within the lash line. It represents a reliable alternative for patients prioritizing the preservation of natural single-eyelid morphology.
Wan et al. (Fri,) studied this question.
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