Comparison Between Different Surgical Approaches for the Treatment of INVOLUTIONAL PTOSIS

Involutional ptosis is a known eyelid pathology in which the eyelid margin obscures part of the visual axis (MRD1).Patients usually complains of visual field disturbance, deterioration in quality of life and a poor cosmetic appearance. In clinical practice, two main surgical approaches are performed to the repair of involutional ptosis: anterior approach - skin incision and levator muscle insertion advancement. posterior approach - eyelid reversion and tarsectomy Both approaches has its pro's and con's, but to this date, no solid evidence exists to prove which of these techniques is superior in manner of anatomical and functional results. in this prospective study, patients with involutional ptosis will be randomized to each of surgical approaches groups, parameters concerning surgical and post surgical periods will be evaluated.

Involutional ptosis is a known eyelid pathology in which the eyelid margin obscures part of the visual axis (MRD1).Patients usually complains of visual field disturbance, deterioration in quality of life and a poor cosmetic appearance. In clinical practice, two main surgical approaches are performed to the repair of involutional ptosis: anterior approach - skin incision and levator muscle insertion advancement. posterior approach - eyelid reversion and tarsectomy Both approaches has its pro's and con's, but to this date, no solid evidence exists to prove which of these techniques is superior in manner of anatomical and functional results. in this prospective study, patients with involutional ptosis will be randomized to each of surgical approaches groups, parameters concerning surgical and post surgical periods will be evaluated.

patients having involutional ptosis undergoing anterior approach surgical ptosis repair (Levator advancement)

patients having involutional ptosis undergoing posterior approach surgical ptosis repair (mullerectomy)

Inclusion Criteria: Involutional ptosis No previous eyelid surgery Exclusion Criteria: Previous eyelid surgery or trauma Congenital ptosis Previous glaucoma filtrartion surgery Unwillingness for six months followup

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