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International Ophthalmology

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Open Access 01-12-2024 | Ptosis | Original Paper

Orbital septum attachment site on the levator aponeurosis sling for mild congenital blepharoptosis

Authors: Jianwei Yang, Lihua Song, Yan Tan, Lulu Zhang, Juan Wang, Limin Liu

Published in: International Ophthalmology | Issue 1/2024

Abstract

Purpose

This study aimed to investigate the value of the orbital septum attachment site on the levator aponeurosis (OSASLA) sling in correcting mild congenital blepharoptosis.

Methods

A total of 60 patients (92 eyes) with mild congenital blepharoptosis (levator function ≥ 8 mm) were treated in our hospital from January to October 2021, and relevant data of these patients were collected. All patients underwent OSASLA sling for ptosis correction. The distances from the superior tarsal border to the OSASLA were measured. The primary outcome was the number of postoperative changes in the marginal reflex distance 1 (MRD1). Pearson’s correlation coefficient between the distance from the superior tarsal border to the OSASLA and the height of the upper eyelid elevated was analyzed.

Results

Fifty-eight patients (89 eyes) successfully underwent OSASLA sling surgery. The preoperative MRD1 was 1.4–3.6 mm (mean 2.1 ± 0.5 mm), and the postoperative MRD1 was 3.4–5.0 mm (mean 3.7 ± 0.6 mm). The distance from the superior tarsal border to the OSASLA sling was significantly and positively correlated with the height of the upper eyelid elevation (r = 0.7328, P < 0.0001). The eyelid margin positions of the patients did not regress substantially during 6–18 months of follow-up.

Conclusions

Compared with the shortening of levator palpebrae superioris (LPS) and pleating of LPS, the OSASLA sling is a less invasive, more effective, and easy-operating surgery for mild congenital blepharoptosis.

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Title: Orbital septum attachment site on the levator aponeurosis sling for mild congenital blepharoptosis
Authors: Jianwei Yang
Lihua Song
Yan Tan
Lulu Zhang
Juan Wang
Limin Liu
Publication date: 01-12-2024
Publisher: Springer Netherlands
Keyword: Ptosis
Published in: International Ophthalmology / Issue 1/2024
Print ISSN: 0165-5701
Electronic ISSN: 1573-2630
DOI: https://doi.org/10.1007/s10792-024-02967-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Orbital septum attachment site on the levator aponeurosis sling for mild congenital blepharoptosis

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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