Congenital ptosis surgery using an optimized transconjunctival technique: a case report

Ophthalmic plastic surgery of ptosis requires effective techniques which provide long-term functional and aesthetic results. Current surgical techniques have both advantages and disadvantages, including transcutaneous approach, the risk of severe postoperative scarring, a long recovery period, and standardized amount of resected tissue. Transconjunctival access is used primarily for superior tarsal muscle resection and is associated with the risk of corneal injury with sutures in the early postoperative period. Thus, there is an urgent issue of development of minimally traumatic techniques which consider the individual anatomical and physiological characteristics of a patient with ptosis to provide stable results without asymmetry of the upper lid contour and under- or overcorrection in the postoperative period. This clinical case clearly demonstrates the potential of the optimized transconjunctival technique for ptosis treatment. The developed technique allows for resecting a pre-determined amount of tissues calculated using a diagnostic algorithm. The surgical technique uses a single biodegradable suture, which significantly reduces the risk of postoperative corneal injury. Personalized ptosis surgery ensures predictable and stable functional and aesthetic results.