DR. SANJRI MALHOTRA

Dr. SHREYA SHAH, DR. MEHUL SHAH, Dr. MODHWADIA JAYESH D.

Abstract

OBJECTIVE:TO STUDY CLINICAL PROFILE AND OUTCOMES OF LEVATOR PALPEBRAL SUPERIORIS SURGERY IN PTOSIS.

METHODS:THIS IS A RETROSPECTIVE COHORT STUDY BETWEEN JAN08 TO AUG22 AT OUR HOSPITAL.DATA COLLECTED IN PRE TESTED ONLINE FORMAT,RETRIEVAL OF DATA FROM EMR AND ANALYSIS BY SPS22.DESCRIPTION AND CROSS TABULATION USED FOR ANALYSIS.

RESULTS:OUR COHORT CONSIST OF 44 EYES WITH MEDIAN AGE 16, 28(64%)M 16(36%)F ,27(61%) PEDIATRIC, 33(75%) UNILATERAL, 42(96%) HAD LPS RESECTION, 1(2.3%) HAD LPS PLICATION,1(2.3%) OTHER SURGERIES.34(77.3%) REQUIRED ONLY PRIMARY SURGERY,4(9.09%) PEDIATRIC AND 6(13.6%) ADULT PATIENTS REQUIRED ADDITIONAL SURGERY. MEDIAN VALUE OF PALPEBRAL FISSURE IS 7.5MM PRE SURGERY WHICH IMPROVED TO 9.5MM POST SURGERY.(P=0.00)

CONCLUSION:LEVATOR RESECTION HAS A HIGH RATE OF SUCCESS AND FEW COMPLICATIONS IN SURGICAL TREATMENT OF CONGENITAL AND ACQUIRED PTOSIS WITH FAIR TO GOOD LEVATOR FUNCTION. REOPERATION CAN BE EFFECTIVE IN MOST CASES.

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