Reduction of post-cataract ptosis using the superior scleral bridle

ABSTRACT

Post operative ptosis is a well recognized complication of cataract surgery. It has been reported in 21 percent of post cataract cases. Multiple factors has been implicated although the exact etiology is unknown Objective: To compare superior scleral bridle with superior rectus bridle in the occurrence of ptosis based on the parameters: lid measurements-corneal reflex; interpalpebral width; upper lid crease and levator excursion Materials and Methods: Thirty eyes of 30 consecutive patients were divided into 3 groups: 1st group as control; 2nd group belonged to the superior rectus bridle and the 3rd group belonged to the superior scleral bridle. ECCE with PC-IOL implantation was performed by the 1 surgeon on 30 eyes. Ptosis parameters were assessed on the 8th week post operative. Statistical analysis using the Excel 1998 and SPSS software for ANOVA was utilized for testing significance Results: Superior scleral bridle showed significant statistical difference between the superior rectus bridle and the control group except in the levator function test Conclusion:The superior scleral bridle is comparable to a control in terms of eliminating the risk of post-ECCE ptosis in contrast to superior rectus bridle.