Levator resection is a surgical technique used to correct ptosis (drooping eyelid) by strengthening the levator palpebrae superioris muscle, which is responsible for eyelid elevation. Here’s a more detailed overview:
Indications:
- Congenital or acquired ptosis
- Mild to moderate ptosis
- Good levator function
Procedure:
- The surgeon makes an incision in the eyelid crease.
- The levator muscle and tendon are identified and resected (a portion is removed).
- The resected muscle is then reattached to the eyelid, effectively shortening it and improving eyelid elevation.
Goals:
- Improve eyelid position and symmetry
- Enhance visual field
- Restore normal appearance
Types:
- Müllerectomy: A variation involving resection of Müller’s muscle, which also contributes to eyelid elevation.
Post-operative care:
- Eye drops and ointments may be prescribed to aid healing and reduce inflammation.
- Patients are usually advised to avoid heavy lifting, bending, or strenuous activities.
Potential risks and complications:
- Undercorrection or overcorrection
- Bleeding or hematoma
- Infection
- Lagophthalmos (incomplete eyelid closure)
Levator resection is a common and effective procedure for correcting ptosis, but the outcome depends on individual factors, such as the severity of ptosis and the surgeon’s expertise.