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Comparison of two- and three-point sutures for advancing the levator aponeurosis in Asian eyelids.

AbstractPURPOSE:
To compare the functional and cosmetic outcomes of two- and three-point sutures for advancing the levator aponeurosis in blepharoptosis surgery on Asians.
PATIENTS AND METHODS:
This retrospective study examined 60 Asian patients with blepharoptosis who had undergone advancement of the levator aponeurosis: 34 patients (46 eyelids) had ptosis correction using the two-point suture technique and 26 patients (41 eyelids) had ptosis correction using the three-point suture technique. The postoperative marginal reflex distance (MRD1), lid height difference, and eyelid contour were evaluated.
RESULTS:
Twenty-seven (79.4%) of the 34 patients in the two-point group and 19 (73.1%) of 26 patients in the three-point group had a postoperative MRD1 of 2-4 mm, lids within 0.5 mm of each other, and a satisfactory eyelid contour; this difference was not significant. The rate of reoperation did not differ significantly between the two groups.
CONCLUSION:
Two- and three-point sutures for advancing the levator aponeurosis were equally effective for correcting blepharoptosis in Asians.
AuthorsY S Kim, J S Yoon, S Y Jang
JournalEye (London, England) (Eye (Lond)) Vol. 29 Issue 9 Pg. 1181-5 (Sep 2015) ISSN: 1476-5454 [Electronic] England
PMID26113504 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Topics
  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Asian People
  • Blepharoplasty (methods)
  • Blepharoptosis (surgery)
  • Child
  • Eyelids (surgery)
  • Female
  • Humans
  • Male
  • Middle Aged
  • Oculomotor Muscles (surgery)
  • Postoperative Complications (surgery)
  • Reoperation (statistics & numerical data)
  • Retrospective Studies
  • Suture Techniques
  • Young Adult

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