TACTICAL AND TECHNICAL ASPECTS OF SURGICAL CORRECTION OF BLEPHAROPTOSIS

Abstract

Ptosis of the upper eyelid is one of the topical topics in medicine. Its relevance is primarily due to the frequency of its spread among ophthalmopathology. Thus, according to various authors, ptosis of the upper eyelid among ophthalmopathies was 15.6%, and the total prevalence of hereditary eye diseases among adults was 2.42, among children-8.63 per 10,000 people. The study included 155 patients with ptosis of the eyelid of various etiologies, who underwent surgical treatment in private clinics from 2014 to 2022. Projections of the edges of the irises of the eye are determined and marks are applied to the tarsal plate. At the level of the designated areas, the tarsal plate intersects across from the ciliary edge to the levator aponeurosis with a slight intersection of the lower edge of the aponeurosis. The proposed method of reducing the resistance of the tarsal plate is effective and provides good aesthetic and functional results. The method is low-traumatic, easy to perform and low-cost. Its effectiveness is high both in acquired postures and in congenital ptosis with a satisfactory and good function of the eyelid levator.