Dr. SALIL KUMAR MANDAL

Dr.SUMAN LODH, Dr.Soumyadeep Majumdar

Abstract

Purpose: To evaluate the surgical, functional and cosmetic outcome in mild to moderate ptosis with Marcus gunn jaw winking ptosis and recurrence of ptosis after correction.Emphasis on child operated under general anaesthesia

Methods;This was a prospective,non comparative interventional,clinical study in thirty eyes over a period of eighteen months.Average upwords flick on jaw movement was+ 8( ±2.56) mm. LPS was disinserted from whitnal’s ligament upto superior border of tarsal plate followed by 25mm of resection then tarsofrontalis sling with silicon rod. Compared pre and post operative photograph

Results:All the patient ptosis corrected successfully with posterior approach of LPS disinsertion and resection.MRD-1 value Preop 0.89(±2.42) to post op +3.5(±0.65)mm.Post operative there is no upward jerks on jaw movement.

Conclusion Unilateral approach found better surgical,functional andcosmetic outcome in correction of Marcus gunn jaw winking ptosis specially in child .