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KMID : 0358819880150030489
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Journal of Korean Society of Plastic and Reconstructive Surgeons
1988 Volume.15 No. 3 p.489 ~ p.498
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CLINICAL SRUVEY OF BLEPHAROPLASTY
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박성진/Park, Seong Jhin
이영만/양순재/박종섭/Lee, Young Mann/Yang, Soon Jae/Park, Jong Sup
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Abstract
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Blepharoptosis is referred to a congenital or acquired drooping of the upper eyelid due to a weakness of the levator or Miller´s muscle. Not only can this cause a cosmetic blemish, but vision can be affected if the eyelid encroachs on the pupillary space.
The management of blepharoptosis mainly depends on the degree of blepharoptosis and the amount of levator function. The result of the surgical correction of the blepharoptosis is determined by the nature of blepharoptosis, operative method, operator´s technique and postoperative care.
Authors had experienced 32 patients of blepharoptosis from June, 1983 to June, 1987. We have followed up 27 patients (38 eyes). When the function of the levator muscle was 4 mm or more, the patient was treated by levator resection (12 patients, 16 eyes), and when the function of levator muscle was 3 mm or less, the patient was treated by frontalis suspension (8 patients, 13 eyes) and frontalis muscle transfer technique (7 patients, 9 eyes).
The results were obtained as follows;
1. The ratio of congenital versus acquired blepharoptosis was 20:7. Among 20 cases of congenital blepharoptosis, monocular versus bi-ocular was 9:11, and right versus left eye incidence was 5:4. Among 7 cases of acquired blepharoptosis, all cases were monocular and traumatic origin and right versus left eye incidence was 4:3.
2. In the function of the levator muscle, 16 cases were 4 mm or more, and 22 cases were 3 mm or less.
3. In postoperative complication, incidental lagophthalmos insleeping and ptotic change at upward gaze were noted in all cases, but these symptom were improved from 2 to 4 month after operation. Exposure keratitis were found in 4 cases, asymmetrical lid fold deformity were noted in 2 cases, postoperative cataract was found in I case, and recurrent blepharoptosis was found in 1 case.
4. At the cases of severe weakness of the function of levator muscle, the result of method of frontalis muscie transfer technique was more effective and excellent than that of
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