Surgical correction of senile aponeurotic ptosis

Objective To explore the clinical efficacy of surgical correction of senile aponeurotic ptosis.Methods 59 eyes of 47 cases of senile aponeurotic ptosis were treated by levator aponeurosis repair and plication or levator resection.Observational items included upper eyelid position and surgical complications.The average follow-up was (10.68 ± 2.83) months (range 3 ～ 16 months).Results The surgeries were performed successfully in all cases.The upper eyelid margin rested (1.03 ± 0.68) mm below the superior limbus at 1 month after surgery and (1.48 ± 0.61) mm below the superior limbus at 3 months after surgery.Compared with the preoperative values,the differences were statistically significant(P ＜ 0.05).5 cases (7 eyes) were undercorrection and needed the second surgery.Other postoperative complications included exposure keratitis (1 eye) and asymmetric appearance (4 eyes).No eyelid deformity or overcorrection were observed.The surgical success rate was 88.14％.Conclusion Surgical correction of senile aponeurotic ptosis has good clinical effect.The postoperative outcomes can be improved with emphasis on preoperative evaluation,intraoperative observation and right choice of surgical procedure. Key words: Ptosis, senile, aponeurotic ;  Surgery