Z Kamal, A A McNab.
Refinement of Anterior Levator Resection Algorithm for Congenital Ptosis.
J Coll Physicians Surg Pak Jan ;11(10):639-41.

Objective: To analyse outcome of the Levator Resection Surgery for the correction of congenital ptosis. Design : A retrospective study. Place and Duration of Study: Three hospitals at Melbourne, Australia, from January 1990 to January 2000. Subjects and Methods: It included all congenital ptosis cases repaired by anterior levator resection. Results: Forty seven eyelids of 44 cases were included. Twenty cases were male and 24 female. Thirty one (66%) were in Primary Surgery group, while 16(34%) in Revision Surgery group. The cumulative success rate with lid position within + 1mm of the desired level was 41/47(87%). Good outcome was achieved in 92% of cases with levator function 8mm or better compared with only 50% of cases with levator function 6-7mm. The statistical analysis done by Chi Square test did not show any statistically difference among the groups. Conclusion: In the congenital ptosis with levator function 8mm or better, chances of good outcome are more after levator resection.

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