Outcomes of Levator Resection at Labbafinejad Medical Center during 1995-2005

To describe the etiology, outcomes and complications of levator resection procedure for correction of congenital and acquired blepharoptosis. In a retrospective nonrandomized study, medical records of 136 patients with blepharoptosis who underwent levator resection at Labbafinejad Medical Center from 1995 to 2005 were evaluated. Of 136 patients undergoing levator resection [including 44.1% men and 55.9% women with mean age of 20±13.8 (range 2-80) years], 120 cases had congenital ptosis (88.2%) while others had acquired ptosis. Success rate was 83.1% which was more frequent in acquired ptosis than congenital ptosis (93.8% vs. 81.7%, P=0.30). Second and third surgeries for residual ptosis were performed in 19.1% and 2.2% of patients, respectively. The most common complication was under-correction (13.9%). Levator resection an effective method for correction of upper eyelid ptosis with low complication rates and seems to be more effective in acquired ptosis.