Objective:

Evaluate the efficacy of the Supramaximal surgical technique for correction of moderate and severe upper eyelid ptosis.

Methods:

A randomized single-blind trial was conducted with 95 patients (119 eyes) from the Ophthalmology Service of Hermanos Ameijeiras Hospital from February 2016 to November 2017. These patients had undergone surgery by either Supramaximal technique or frontal suspension technique. Efficacy of the treatment was evaluated in terms of eyelid ptosis, eyelid crease height, margin-reflex distance and patient satisfaction.

Results:

Mean age was 59.35 years, with a slight predominance of the female sex (56.8%) and of severe eyelid ptosis (51.6%). Diabetes mellitus was the most common systemic condition (56.8 %). The therapeutic efficacy of SMT was higher (96.7 %) than that of FST (86.2 %). Patient satisfaction was higher with SMT (97.9 %).

Conclusions:

The Supramaximal surgical technique is more effective than frontal suspension for correction of moderate and severe upper eyelid ptosis.

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