Levator Resection with3 Point Fixation Versus 2 Point Fixation Tucking for Congenital Ptosis

Standard Levator Aponeurosis / Muscle Resection With Three Point Fixation Versus Two Point Fixation Tucking for Congenital Ptosis With Fair to Good Levator Function

Status

Completed

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT03240107

Enrollment

Registered

2017-08-04

Start date

2016-05-31

Completion date

2017-07-31

Last updated

2017-08-04

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Congenital Ptosis

Keywords

levator resection, levator tucking, Fair levator function, Eyelid contour

Brief summary

to evaluate the surgical effect of levator aponeurosis resection Versus two point fixation levator aponeurosis Tucking for Congenital Ptosis

Detailed description

Target population for the study is children under twelve years old presenting to ophthalmology clinic at Cairo university specialized pediatric hospital with congenital ptosis. Patients will be randomly divided into two groups First group (A) will contain 20 patients who will undergo standard levator aponeurosis resection Second group (B) will contain 20 patient who will undergo two point fixation levator tucking

Interventions

PROCEDURElevator resection

The levator aponeurosis was dissected from the upper border of the tarsal plate and conjunctiva. The aponeurosis was measured for the desired amount of resection and fixed to the exposed tarsal border with three point mattress sutures with 6-0 prolene then amount measured resect. The skin incision closed by continuous suture with 6-0 prolene.

PROCEDURElevator tucking

The levator aponeurosis was dissected from the upper border of the tarsal plate and conjunctiva. . The aponeurosis was measured for desired amount of tucking The skin incision closed by continuous suture with 7-0 prolene.

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

TREATMENT

Masking

NONE

Eligibility

Sex/Gender

ALL

Age

2 Years to 12 Years

Healthy volunteers

Yes

Inclusion criteria

1. Unilateral or bilateral simple isolated congenital ptosis. 2. Levator function more than 4mm

Exclusion criteria

1. Congenital ptosis associated with other ocular syndromes. 2. Recurrent ptosis following any attempt for repair. 3. Traumatic ptosis or acquired ptosis 4. -ve bell's phenomenon.

Design outcomes

Primary

Measure	Time frame	Description
Comparison of surgical efficacy of standard levator aponeurosis resection and two point fixation tucking regarding MRD1	6 to 9 months	MRD1:distance between upper lid margin and corneal light reflex measured in mm by transparent ruler

Countries

Egypt

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026