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May 2012

Complications of Blepharoptosis Surgery

Author Affiliations

Author Affiliations: Department of Ophthalmology, SUNY Downstate Medical Center, Brooklyn.

Arch Ophthalmol. 2012;130(5):666. doi:10.1001/archophthalmol.2011.1867

We read with great interest the recent article by Decock et al1 describing their surgical technique of supramaximal resection of the levator aponeurosis in blepharophimosis syndrome. In their technique, 4 of 11 patients needed a second blepharoptosis repair secondary to cosmetic eyelid position or asymmetry. We have trouble with the following statement in the Results section: “No postoperative complications were noted. . . . ”1 Undercorrection or overcorrection of blepharoptosis is recognized as the most common complication during any blepharoptosis repair, and patients are routinely counseled regarding this possibility. In our minds, the 4 patients who needed additional blepharoptosis surgery did in fact have postoperative complications including undercorrection and eyelid asymmetry.

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