Abstract FP15-04-OPL
Evaluation of a novel accordion suture technique in aponeurotic ptosis repair Print
Tenewitz J.1, Cartwright M.1,2
1University of Central Florida College of Medicine, Orlando, United States, 2Medical Eye Associates, Kissimmee, United States
Purpose: To report a novel approach to the external levator advancement that utilizes an accordion suture technique and evaluate one surgeon's results with this technique.
Methods: A retrospective review of data from 67 patients who underwent bilateral accordion suture levator advancement for aponeurotic ptosis from January 01, 2015 - December 31, 2017 was carried out in order to determine the efficacy of this technique. The accordion suture technique is described briefly as follows: (1) a single suture is passed three times, medial to lateral, through the levator aponeurosis (2) the suture is secured (3) using the same suture, a single elongated pass is taken, medial to lateral, through the superior tarsal plate (4) the suture is secured.
Results: The mean preoperative margin-to-reflex distance 1 (MRD1) was 1.17mm (SD = ±0.53mm; range = -1.00mm to 2.00mm) while the mean postoperative MRD1 was 2.52mm (SD = ±0.36mm; range = 1.50mm to 3.00mm)(P < 0.001). Four patients underwent revision (6%) and 5 patients experienced postoperative complications that were resolved with treatment (7%). A successful outcome on the basis of inter-eyelid symmetry ≤ 0.5mm, MRD1 ≥ 2.0mm and ≤ 4.0mm, satisfactory contour, and absence of revision was achieved in 62 patients (92%).
Conclusions: The accordion suture levator advancement is a simple and effective approach to aponeurotic ptosis repair. Based on the evidence presented, we suggest that surgeons consider adopting this technique in order to further improve outcomes.

Assigned speakers:
Jake Tenewitz , University of Central Florida College of Medicine , Orlando , United States

Assigned in sessions:
16.06.2019, 10:00-11:30, Free Papers/Rapid Fire, FP15, Oculoplastics, Refractive Surgery, Galliéni 1+2