METHOD FOR SURGICAL MANAGEMENT OF UPPER EYELID PTOSIS Russian patent published in 2024 - IPC A61F9/07 

FIELD: medicine; surgery; ophthalmology.

SUBSTANCE: transconjunctival approach is formed with detachment of palpebral and bulbar conjunctiva by means of anesthetic injection. Levator fold is formed by stitching the upper eyelid levator with three U-sutures. Free edges of the sutures from the sutures are passed between the cartilage and the eyelid skin on the ciliary edge and the sutures are tied with interrupted sutures on the pads. Levator is separated at depth of 15–20 mm from the place of its attachment to the inner edge of the upper eyelid cartilage, the U-shaped sutures are applied at depth of 15–20 mm from the attachment point of the levator, at that, first, a central U-shaped suture is applied in the center of the levator, laying its fold, two more U-shaped sutures are applied at 2 mm to the right and to the left from the central U-shaped suture. Adjusting the levator fold tension through the U-shaped sutures with the ciliary edge position assessment relative to the pupil upper edge to distance of 0–1 mm between them, free ends of sutures are left from interrupted sutures on ciliary edge 2–5 mm long.

EFFECT: method enables increasing the effectiveness of treating ptosis of the upper eyelid due to the absence of the main incision on the skin of the upper eyelid, which minimizes the risk of volumetric bleeding, making the operation minimally invasive; significant reduction.

1 cl, 17 dwg, 3 ex