Ptosis is a common complication seen after intraocular procedures, including refractive surgery. The ptosis can be transient due to post-surgical edema or persistent, typically resulting from stretch injury and dehiscence of the levator aponeurosis after the use of an eyelid speculum. Additionally, a history of contact lens use, as is often seen among patients undergoing refractive procedures, has been found to be a risk factor for ptosis development due to chronic stretch to the levator during contact lens insertion and removal. If the ptosis descends into the visual axis, it necessitates repair, and a variety of internal and external approaches may be utilized. The authors advocate for a small, external-incision levator tuck technique.

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Ptosis

  • Pete Setabur,
  • Bryan Sires,
  • Kevin Heinze

摘要

Ptosis is a common complication seen after intraocular procedures, including refractive surgery. The ptosis can be transient due to post-surgical edema or persistent, typically resulting from stretch injury and dehiscence of the levator aponeurosis after the use of an eyelid speculum. Additionally, a history of contact lens use, as is often seen among patients undergoing refractive procedures, has been found to be a risk factor for ptosis development due to chronic stretch to the levator during contact lens insertion and removal. If the ptosis descends into the visual axis, it necessitates repair, and a variety of internal and external approaches may be utilized. The authors advocate for a small, external-incision levator tuck technique.