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Issue: Vol. 562 No. 1 (2026)
Section: Các bài báo
DOI: 10.51298/vmj.v562i1.18394
Date Published: 10/08/2026
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Downloads 15
How to Cite
Phan, T. T., Vũ, T. Q. A., Phạm, T. V., Nguyễn, T. M. H., & Nguyễn, T. T. H. (2026). EVALUATION OF SURGICAL OUTCOMES IN THE TREATMENT OF RECURRENT PTOSIS USING THE TRANSVERSE SUPERIOR FASCIAL EXPANSION TECHNIQUE. Vietnam Medical Journal, 562(1). https://doi.org/10.51298/vmj.v562i1.18394

EVALUATION OF SURGICAL OUTCOMES IN THE TREATMENT OF RECURRENT PTOSIS USING THE TRANSVERSE SUPERIOR FASCIAL EXPANSION TECHNIQUE

Thị Thảo Phan1, , Thị Quế Anh Vũ1, Trọng Văn Phạm1, Thị Mai Hương Nguyễn2, Thị Thu Hiền Nguyễn3
1 Trường Đại học Y Hà Nội
2 Trường Đại học Y – Dược Thái Nguyên
3 Bệnh viện Mắt Trung Ương

Main Article Content

Abstract

Objective: To evaluate the surgical outcomes of transverse superior fascial expansion suspension in the treatment of recurrent ptosis. Subjects and Methods: A retrospective study was conducted on 20 patients (25 eyelids) with recurrent ptosis who underwent transverse superior fascial expansion suspension between January 2024 and January 2026 at the Vietnam National Eye Hospital. Surgical outcomes were assessed at 1 week, 1 month, and 3 months postoperatively based on the following parameters: degree of ptosis correction, eyelid symmetry, postoperative complications, and patient satisfaction.


Results: At the final follow-up, 22 eyes (88%) achieved satisfactory correction, including 9 eyes (36%) with very good outcomes and 13 eyes (52%) with good outcomes; undercorrection was noted in 3 eyes (12%). Good eyelid symmetry was achieved in 18 patients (90%), while 2 patients (10%) had fair symmetry; no cases of poor symmetry were observed. No hematoma, infection, exposure keratopathy, entropion, ectropion, or extraocular motility disturbance was recorded. Residual lagophthalmos was present in 23/25 eyes (92%), mostly mild in degree, with a mean value of 0.66 ± 0.34 mm, and without corneal involvement. Conjunctival prolapse occurred in 3 eyes (12%) during the first postoperative week and resolved completely after medical treatment. The overall patient satisfaction rate was 90%.


Conclusion: Transverse superior fascial expansion suspension is a safe, feasible, and effective procedure for the treatment of recurrent ptosis, particularly in patients with moderate to severe ptosis associated with moderate or poor levator function. This technique provides good improvement in palpebral fissure height and eyelid symmetry, with a high level of patient satisfaction. Postoperative complications were generally mild and manageable.

Keywords

recurrent ptosis, transverse superior fascial expansion suspension, conjoint fascial sheath suspension, ptosis surgery

Article Details

References

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