RESULTS OF SURGICAL CORRECTION OF BLEPHAROPTOSIS

Abstract

Consideration of the severity of biomechanical disturbances of vector forces in ptosis of the upper eyelid of various etiologies made it possible to optimize the method of correcting this pathology. 155 patients (197) with congenital and acquired ptoses of varying severity were operated on. A method has been developed to relax the tarsal plate before correcting ptosis of the upper eyelids. Determining the function according to Berke allows you to choose which muscle the tarsal plate should be attached to. In case of satisfactory, good and excellent function of the levator of the eyelid, fixation is carried out to the levator of the eyelid and in case of unsatisfactory function - to the frontal muscle. The proposed technique for reducing tarsal plate resistance is effective and provides good aesthetic and functional results. The method is low-traumatic, simple to perform and low-cost. Its effectiveness is high both in acquired ptosis and in congenital ptosis with resulting satisfactory and good function of the levator eyelid.