Anterior approach levator plication for congenital ptosis, absorpable versus non absorpable sutures.

Abstract

PURPOSE\nTo compare the efficacy of two different suture types in levator plication for correction of congenital ptosis.\n\n\nSUBJECTS AND METHODS\nProspective comparative interventional randomized study involving 42 eyes of 42 patients aged more than 6\u2009years with congenital ptosis and good levator action. The exclusion criteria were as follows: bilateral ptosis, history of previous surgery, fair or poor levator action, and associated other ocular diseases. Patients were randomized into group A, in which double-armed 5/0 polyester Ethibond were used, and group B, in which double-armed 5/0 Coated Vicryl® (polyglactin 910) suture material we used. Outcomes including eyelid height and stability of eyelid height over time were compared with follow-up data. The MRD was 4.05\u2009±\u20090.36\u2009mm and 3.95\u2009±\u20090.34 after 1\u2009week for both groups A and B, respectively. At the end of study follow up period (24\u2009weeks), the MRD was 3.60\u2009±\u20090.42\u2009mm in group A, and 2.52\u2009±\u20090.85\u2009mm in group B.\n\n\nCONCLUSION\nNo difference in eyelid height between two groups in early postoperative period, but the postoperative eyelid height was more stable over time in the 5/0 polyester Ethibond group (group A) than in the 5/0 Coated Vicryl® (polyglactin 910) group (group B).