blepharoptosis
Conditions
Interventions
Test group:Perform the partial Müllerectomy in the fat degenerated area following levator advancement through small incision
Sponsors
Southeast University Affiliated Zhongda Hospital
Eligibility
Sex/Gender
All
Age
18 Years to 35 Years
Inclusion criteria
Inclusion criteria: ?Patients with a preoperative diagnosis of mild to moderate ptosis (upper lid margin obscuring the cornea >2mm and =6mm) and levator muscle strength =5mm and <10mm; ?Intraoperative observation of a yellow mass of fatty deposits in the Müller's muscle (with or without the levator muscle and levator aponeurosis); ?Retain patients who fulfil the first 2 criteria but who undergo correction of the medial canthus with a modified Z-shaped canthus simultaneously; ?Retain patients who fulfil the first two criteria but with thinned or severed levator aponeurosis intraoperatively.
Exclusion criteria
Exclusion criteria: ?Patients with severe ptosis on one or both sides and unilateral ptosis; ?Patients with severe ptosis with one or both levator muscle strength less than 5mm; ?Patients with ptosis due to neurogenic, pseudo, mechanical, or progressive extraocular muscle paralysis; ?Patients with obvious laxity of the upper eyelid skin; ?Patients with strabismus, diseases of extraocular muscles and appendages; ?Patients with a history of previous upper eyelid surgery; ?Pregnant and breastfeeding women; ?Patients with infection, eczema, herpes, abscess, cellulitis, ringworm and burns on the upper eyelid area; ?Those who are allergic to drugs(iodophor, alcohol, gentian violet, lidocaine, etc.) used intraoperatively; ?Patients with severe comorbidities, mental illnesses and coagulation disorders found before or during surgery; ?Patients with incomplete information and missed visits.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Margin reflection distance1(MRD1);Vertical eyelid fissure height(VEFH);Levator function(LF); | — |
Secondary
| Measure | Time frame |
|---|---|
| Bleeding, oedema, bruising, pain, eye discomfort within 1 week;Scar;Bilateral upper eyelid contour and symmetry;Doctor and patient satisfaction; | — |
Countries
China
Contacts
Public ContactFangfang Guo
Southeast University Affiliated Zhongda Hospital
Outcome results
None listed