
The study investigates surgical approaches for severe blepharoptosis in Asian patients, comparing conjoint fascial sheath (CFS) + levator aponeurosis and Muller’s muscle complex (LM complex) suspension with and without conjunctival suspension. Analyzing 70 patients retrospectively, the study finds no significant difference in correction effective rates and overall complication incidence. However, the incidence of conjunctival prolapse is significantly lower in the CFS+LM complex + conjunctival suspension group. Patient satisfaction is higher in this group, suggesting the procedure is effective and feasible and enhances postoperative outcomes, particularly in preventing conjunctival prolapse.
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