Surgical outcome of anterior levator resection in congenital ptosis

Purpose: The aim of the study was to evaluate the success of levator resection in congenital ptosis. Materials and Methods: This was a prospective interventional study carried out at Postgraduate Department of Ophthalmology, Government Medical College Srinagar, a tertiary eye care facility in the state of Jammu and Kashmir, India. A total of 26 eyes with uncomplicated congenital ptosis of 20 patients were taken up for this study. During the study period, 20 patients (12 Male, 8 Female) underwent surgery. The age of operated patients ranged from 6-28 years with a median age of 12 years. 6 patients underwent bilateral anterior levator resections, whilst 14 underwent unilateral surgery. Results: Total of 26 eyes of 20 patients were operated upon. Out of 20 patients, 12 were males and 8 were females. The mean age of patients was 12 years (range: 6-28 years). Out of 20 cases, 6 had bilateral and 14 had unilateral ptosis. In majority (75%), results obtained were good to excellent with a well defined symmetry in lid height and shape. In four (20%), results were cosmetically acceptable and patients were satisfied and graded as fair. However residual ptosis occurred in 1 case (5%) and required further surgical procedure at a later date. Conclusion: Levator resection via anterior approach in congenital ptosis achieved good ptosis correction with cosmetically acceptable upper lid crease.