Tratamiento quirúrgico de ptosis palpebral miogénica adquirida

espanolObjetivo: Reportar el resultado de la cirugia de la aponeurosis del elevador en dos pacientes con ptosis palpebral miogenica adquirida y describir pautas quirurgicas para su correccion. Metodos: Se revisaron las historias clinicas de dos pacientes con ptosis palpebral miogenica posterior a la correccion quirurgica. Resultados: En dos pacientes con ptosis palpebral miogenica adquirida con escasa funcion del elevador se realizo cirugia de reseccion del elevador. Aparecieron complicaciones corneales en ambos casos. Conclusion: Los pacientes con ptosis palpebral miogenica tienen riesgo de complicaciones post-quirurgicas por exposicion corneal. La correccion quirurgica debe ser conservadora y realizarse solamente cuando el eje visual esta comprometido. EnglishObjective: To report the surgical outcome of aponeurosis surgery in patients with acquired myogenic eyelid ptosis and describe surgical guidelines for their correction. Methods: The clinical records of two patients with acquired myogenic eyelid ptosis after surgical correction were reviewed. Results: In two patients with acquired myogenic eyelid ptosis and barely good levator function, levator resection surgery was performed. Corneal complications appeared in both cases. Conclusion: Patients with acquired myogenic eyelid ptosis are at risk of post-operative surgical complications from corneal exposure. Surgical correction should be conservative and performed only when the visual axis is compromised.