Author Affiliations: Department of Ophthalmology, SUNY Downstate Medical Center, Brooklyn.
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.
Complications of Blepharoptosis Surgery. Arch Ophthalmol. 2012;130(5):666. doi:10.1001/archophthalmol.2011.1867