Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2025, Vol. 39 ›› Issue (5): 70-75.doi: 10.6040/j.issn.1673-3770.0.2023.443

• Original Article • Previous Articles    

Investigation of the correlation between levator palpebrae superioris muscle strength and postoperative eyelid closure in patients with blepharoptosis

LIU Xin1, DU Anshi1, WANG Yan2, TAN Qingqing2, LI Junping1, GUO Yunan1, LAN Changjun1,2   

  1. 1. Department of Ocular Plastic Surgery, Chengdu Eastern Aier Eye Hospital, Chengdu 610051, Sichuan, China2. Affiliated Hospital of North Sichuan Medical College;
    Medical School of Ophthalmology & Optometry, North Sichuan Medical College, Nanchong 637000, Sichuan, China
  • Published:2025-09-19

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Abstract: Objective To investigate the correlation between the strength of the levator palpebrae superioris muscle and postoperative eyelid closure in patients with congenital blepharoptosis, aiming to provide a reference basis for surgical method selection and prognosis assessment in clinical practice. Methods A total of 122 eyes from 83 patients with congenital blepharoptosis were included in this study. Surgical procedures involved either shortening of the levator palpebrae superioris muscle or frontalis muscle flap suspension. Prior to surgery, the muscle strength of the levator palpebrae superioris was measured and recorded. Subsequently, eyelid closure was assessed on postoperative day one, day seven, month one, month three, and month six for patients who underwent the same surgical procedure. The correlation between preoperative muscle strength of the levator palpebrae superioris and postoperative eyelid closure was analyzed. Results The strength of the levator palpebrae superioris muscle exhibits a negative correlation with the degree of postoperative eyelid closure insufficiency in patients with shortening of the levator palpebrae superioris muscle(r=-0.330 1, P<0.01). However, no significant correlation was observed in cases involving frontalis muscle flap suspension operation(r=-0.229 1, P=0.125 7). The longer the postoperative time, the smaller the eyelid closure insufficiency in both surgical methods. After a 3-month shortening of the levator palpebrae superioris muscle, complete eyelid closure was achieved. However, even after a 6-month frontalis muscle flap suspension, partial non-closure still persisted. Conclusion The robustness of the muscle plays a crucial role in achieving proficient eyelid closure post-operatively following levator palpebrae muscle shortening surgery. A stronger muscle results in enhanced closure and reduced closure time. In contrast, the strength of the upper eyelid muscle has minimal significance for eyelid closure post-operatively during frontal muscle flap suspension surgery. Levator palpebrae muscle shortening surgery facilitates earlier eyelid closure post-operatively, making it the optimal choice.

Key words: Congenital Blepharoptosis, Shortening of the levator palpebrae superioris muscle, Frontalis muscle flap suspension operation, Muscle strength of the levator palpebrae superioris, Closure of eyelids, Correlation

CLC Number: 

  • R765.21
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