Dr.DR. SINDHUJA MURUGESAN

Dr. VIJI RANGARAJAN

Abstract

Aim:Traumatic ptosis occurs either due to direct injury to levator muscle, dehiscence of its aponeurosis from tarsus or injury to nerve supply. Due to heterogenous nature of traumatic ptosis its prognosis & management is difficult. The purpose of this study is to present our experience in its management.Method: Data collected over 2 year period involving 14 patients with traumatic ptosis of varying severity. Detailed ophthalmologial & ptosis evaluation was done.Results: 9 were males & 5 were females. Age ranged from 6-55 years. Margin reflex distance 1 ranged from -3 to +2mm and levator action 2-12mm. 6 patients had spontaneous resolution of ptosis over a period of 8-12 weeks, levator resection was done in 5 patients & frontalis sling was done in 3. Good correction was obtained in 11 patients & 2 had recurrence within 6 months.Conclusion: Meticulous evaluation will guide in making appropriate choice of surgical procedure which will help in achieving good results in traumatic ptosis.

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