Comparison of two- and three-point sutures for advancing the levator aponeurosis in Asian eyelids

Abstract

Purpose To compare the functional and cosmetic outcomes of two-and three-point sutures for advancing the levator aponeurosis in blepharoptosis surgery on Asians. Patients and methods This retrospective study examined 60 Asian patients with blepharoptosis who had undergone advancement of the levator aponeurosis: 34 patients (46 eyelids) had ptosis correction using the two-point suture technique and 26 patients (41 eyelids) had ptosis correction using the three-point suture technique. The postoperative marginal reflex distance (MRD1), lid height difference, and eyelid contour were evaluated. Results Twenty-seven (79.4%) of the 34 patients in the two-point group and 19 (73.1%) of 26 patients in the three-point group had a postoperative MRD1 of 2-4 mm, lids within 0.5mm of each other, and a satisfactory eyelid contour; this difference was not significant. The rate of reoperation did not differ significantly between the two groups. Conclusion Two-and three-point sutures for advancing the levator aponeurosis were equally effective for correcting blepharoptosis in Asians.