Postoperative Ptosis after Cataract and Glaucoma Surgery
Journal of the Korean Ophthalmological Society
;
: 598-603, 1998.
Article
in Korean
| WPRIM
| ID: wpr-208090
ABSTRACT
A retrospective study was done on 189 eyes of 156 patients who underwent cataract and/or glaucoma surgery to evaluate the effect of surgical technique, operation time, age of patients, mitomycin C use and superior rectus muscle injury on the incidence of postoperative ptosis. Interpalpebral fissure and levator funtion were measured preand postoperatively. All patients had topical and pin-point anesthesia. For the cataract patients, wire speculum was used and traction suture on superior rectus muscle was performed with 4-0 black silk. For the glaucoma patients, plate speculum was used and traction suture on superior rectus muscle was performed with 6-0 black silk. Decrease of the interpalpebral fissure over 2mm were observed in 7 of 115 eyes (6.0%) in cataract surgery, 5 of 51 eyes (9.8%) in glaucoma surgery and 3 of 23 eyes (13.0%) in triple surgery for cataract and glaucoma at postoperative 6 months. The variables significantly infuencing the incidence of ptosis were as follows; age of the patients (more than 50 years old. relative risk=1.7), operation time (more than 40 minutes, R.R=2.3) and mitomycin C use (R.R.=1.9). Development of superior rectus hematoma during the traction suture did not affect the incidence of postoperative ptosis.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Surgical Instruments
/
Sutures
/
Traction
/
Cataract
/
Glaucoma
/
Incidence
/
Retrospective Studies
/
Mitomycin
/
Silk
/
Hematoma
Type of study:
Etiology study
/
Incidence study
/
Observational study
/
Prognostic study
Limits:
Humans
Language:
Korean
Journal:
Journal of the Korean Ophthalmological Society
Year:
1998
Type:
Article
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