ArticleSaudi journal of ophthalmology : official journal of the Saudi Ophthalmological Society
Levator-based versus frontalis-based surgeries for poor-function congenital ptosis: Systematic review and meta-analysis.
Article in Saudi journal of ophthalmology : official journal of the Saudi Ophthalmological Society. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- Long term risk of recurrence of ptosis repair: implications for surgical counseling and follow-up.Frontiers in ophthalmology · 2025Article
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Authors and funding
7 authors.
Funding
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Abstract
The choice of surgery for congenital ptosis remains an ongoing debate. This study evaluated the efficacy and safety of levator-based versus frontalis-based surgeries, specifically focusing on ptosis with poor levator function. A comprehensive literature search was conducted across PubMed, Scopus, Web of Science, and the Cochrane Library. Studies comparing levator-based and frontalis-based surgical techniques in congenital ptosis patients were included. Sixteen studies were included. Meta-analysis revealed no significant differences regarding postoperative marginal reflex distance 1 (MRD1) or change in MRD1 in poor levator function cases and overall pooled studies. Levator-based surgeries had lower risk of recurrence and implant- or suture-related complications. Postoperative lagophthalmos was comparable between the two groups. In conclusion, both levator-based and frontalis-based surgeries achieve satisfactory outcomes for congenital ptosis, including cases with poor levator function. Large, randomized trials with long-term follow-up are needed.
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