Dr. ANNESHA SARKAR

Dr.(Mrs.) KASTURI BHATTACHARJEE, DR. OBAIDUR REHMAN, Dr. Vatsalya Venkatraman

Abstract

Surgical correction of ptosis is conventionally done through anterior approach which leaves remarkable external scar. However posterior approach has also been described. We present 16 cases of ptosis , 10 of which were of mild grade and underwent Mullers muscle conjunctival resection (MMCR) and 6 of them were of moderate grade who underwent white line advancement technique without resection of mullers muscle. All the patients had post operative MRD1 >/=3 , <1mm inter-eyelid height difference , no appreciable scarring ,no recurrence and no complications in a follow up period of 6 months .We have observed satisfactory results with MMCR in cases of mild grade ptosis and with white line advancement in cases of moderate grade ptosis . The post operative outcomes were comparable with that of conventional techniques but with better cosmetic results . We conclude, Posterior approach for ptosis correction is a novel surgical intervention with excellent aesthetic and functional outcome.

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