Comparison of Surgical Efficacy of Levator Muscle Short- ening and Modified Levator Aponeurosis Tucking in Treat- ing Minimal and Moderate Congenital Blepharoptosis.

PURPOSE: To evaluate the surgical effect of levator muscle shortening and levator aponeurosis tucking in treating minimal and moderate congenital blepharoptosis. METHODS: Clinical data of 28 patients (40 eyes) diagnosed with mide and moderate congenital blepharoptosis at our institution were retrospectively analyzed. Postoperative efficacy was evaluated and statistically compared between these two techniques. RESULTS: During 14 months follow-up, 16 eyes with ptosis undergoing levator muscle shortening were treated, 3 with undercorrection of ptosis and 1 with overcorrection of ptosis. In patients receiving levator aponeurosis tucking, 16 eyes were cured and 4 with undercorrection of ptosis. CONCLUSION: Both levator muscle shortening and levator aponeurosis tucking are safe and efficacious for correcting minimal and moderate congenital blepharoptosis. (Eye Science