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Erschienen in: Spektrum der Augenheilkunde 5/2017

25.04.2017 | original article

Postsurgical ptosis associated with intraoperative eyelid dilatability

verfasst von: Ewald Lindner, Sabine Stohl-Mayr, Julia Rossbacher, Doris Putzgruber-Adamitsch, Stephanie Sarny, Yosuf El-Shabrawi

Erschienen in: Spektrum der Augenheilkunde | Ausgabe 5/2017

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Summary

Background

In this study we determined the incidence of postsurgical ptosis following phacoemulsification using different lid specula.

Methods

This prospective randomized controlled clinical study comprised 100 eyes of 50 patients. Phacoemulsification in both eyes was performed with topical or general anesthesia. Both lid specula – the Schott lid speculum for one and the Barraquer lid speculum for the other eye – were used on each patient. The palpebral fissure height, marginal reflex distance, levator function, and height of the lid crease were measured before and 1 month after surgery. Intraoperatively the lid aperture was measured with the lid speculum in place. The t test was used to compare means and the chi-square test was used for categorical variables.

Results

Postsurgical ptosis of 2 mm or more was found in 18 eyes. There was no significant difference between the two specula used. The development of ptosis was associated with small intraoperative dilatability, reduced levator function, and younger age (p < 0.05).

Conclusion

While the choice of lid speculum had no influence on the development of postsurgical ptosis, the amount of intraoperative vertical dilatability and younger age did have an effect.
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Metadaten
Titel
Postsurgical ptosis associated with intraoperative eyelid dilatability
verfasst von
Ewald Lindner
Sabine Stohl-Mayr
Julia Rossbacher
Doris Putzgruber-Adamitsch
Stephanie Sarny
Yosuf El-Shabrawi
Publikationsdatum
25.04.2017
Verlag
Springer Vienna
Erschienen in
Spektrum der Augenheilkunde / Ausgabe 5/2017
Print ISSN: 0930-4282
Elektronische ISSN: 1613-7523
DOI
https://doi.org/10.1007/s00717-017-0340-2