Assessment and Management of 51 Cases of Acquired Ptosis in Adults at the Ophthalmology Department of the University Hospital of Treichville. (Ivory Coast)

Aim: The objective of this study was to assess the management of acquired ptosis in adults in our daily practice.

Methodology: We carried out a retrospective, descriptive cross-sectional study over a 6-year period at the ophthalmology department of the University Hospital of Treichville.

Results: Fifty-one (51) eyelids of 39 patients were treated during the study period. Twenty-six (26) patients, 66.67% were males compared to 13 females. The average age of patients was 40.62 years with extremes of 19 years and 78 years. Ptosis was unilateral in 27 patients that is 69.23% of cases and bilateral in 12 patients that is 30.77%. Myogenic involvement was the highest in 58.97% of cases. Frontal suspension was the most common operative technique performed, 64.71% of cases. The postoperative results were considered good and excellent in 58.82% of patients.

Conclusion: Acquired ptosis is multifactorial. Careful examination ensures a satisfactory functional and aesthetic result. A ptosis of sudden appearance makes fear a vital emergency.

Keywords: ptosis, acquired, adults, myogenic ptosis, frontal suspension, hypercorrection, exposure keratitis, aesthetic result.