SURGICAL CORRECTION OF INVOLUTIONAL PTOSIS: A CASE REPORT WITH ANTHROPOMETRIC ANALYSIS
DOI:
https://doi.org/10.55640/Keywords:
Involutional ptosis, also referred to as aponeurotic ptosis, is the most common form of acquired blepharoptosis in adults. The condition develops primarily due to age-related stretching, thinning, or dehiscence of the levator aponeurosis from its attachment to the tarsal plate. As a result, the upper eyelid descends, causing narrowing of the palpebral fissure and impairment of both aesthetic appearance and visual function [1,2].Abstract
Background:
Involutional ptosis is one of the most common age-related eyelid disorders characterized by progressive drooping of the upper eyelid due to attenuation or dehiscence of the levator aponeurosis. Besides aesthetic concerns, involutional ptosis may lead to visual field impairment, eye fatigue, and compensatory frontalis muscle overactivity.
Objective:
To evaluate the effectiveness of surgical correction of involutional ptosis using objective anthropometric assessment.
Methods:
A clinical case of a patient with bilateral involutional ptosis was analyzed. Preoperative and postoperative evaluation included standardized photographic anthropometry in frontal and lateral projections. Key parameters included marginal reflex distance-1 (MRD-1), palpebral fissure height, upper eyelid symmetry, brow position, and eyelid contour. Surgical correction was performed using levator aponeurosis advancement through an anterior approach.
Results:
Postoperative evaluation demonstrated significant improvement in eyelid position and symmetry. MRD-1 increased from approximately 0–1 mm preoperatively to 3–4 mm postoperatively. Palpebral fissure height normalized bilaterally with restoration of upper eyelid contour and reduction of compensatory brow elevation. Functional and aesthetic outcomes were satisfactory without postoperative complications.
Conclusion:
Levator aponeurosis advancement is an effective and reliable technique for the correction of involutional ptosis. Objective anthropometric analysis allows accurate assessment of surgical outcomes and demonstrates significant improvement in eyelid position, symmetry, and facial aesthetics.
References
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3. Blepharochalasis: Modern Approaches to Diagnosis and Treatment. Frontline Medical Sciences Journal. 2023.
4. Haile M, Sundar G, Yen MT, et al. Blepharochalasis Syndrome. EyeWiki. Updated 2026.
5. Ismail A, et al. Childhood blepharochalasis presenting as recurrent eyelid swelling. International Journal of Surgery Case Reports. 2024.
6. Farkas LG. Anthropometry of the Head and Face. 2nd ed. Raven Press; 1994.
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