Evaluation of the Surgical Treatment for Congenital Blepharoptosis Using Mustarde’s Modified Method

Abstract

the aim of the study was evaluation of the results of surgical treatment of congenital blepharoptosis (CBP) using Mustarde's modified method. material and methods. Between 2005Between -2014 forty eight children with CBP underwent surgical correction of CBP by Mustarde's modified method. Basing on the results of ophthalmic and orthoptic examination, and standard measurements, we estimated postoperative difference in the position and symmetry of the upper eyelids, and postoperative complications in our patients. Results. Very good results were obtained in all cases with mild, in 89.5% with moderate, and in 85.7% with severe unilateral CBP after correction by Mustarde's modified method. Lagophthalmos was seen in 6.25%, and undercorrection in 12.5% of cases. conclusions. 1. Mustarde's modified method allows for obtaining very good functional and aesthetic results in CBP patients. 2. Mustarde's modified method is a valuable supplemental surgical technique in CBP, and contributes to a low rate and small range of lagophthalmos.

The protective efficacy and safety of bandage contact lenses in children aged 5 to 11 after frontalis muscle flap suspension for congenital blepharoptosis

“…Fluorescein corneal staining was not found on postoperative day 1 to 3 in the BCL group. These rates are obviously higher than the ones reported by Mokhtarzadeh et al and Hou et al, [10–12] which may be due to the different methods of anesthesia. All our patients were under general anesthesia because of their young age, but other studies included adults under local anesthesia.…”

“…[9] Lagophthalmos is the most common postoperative complication. The incidence of postoperative lagophthalmos ranged from 40.4% to 6.25%, [10–12] and exposure keratopathy was 11.1% [13] in earlier studies. Lagophthalmos is also the most common late complication, and the use of appropriate local treatment in prevention of corneal drying is better tolerated by children than by adults with incomplete lids closure, which is reflected in an improvement of corneal adaptation.…”

“…Lagophthalmos is also the most common late complication, and the use of appropriate local treatment in prevention of corneal drying is better tolerated by children than by adults with incomplete lids closure, which is reflected in an improvement of corneal adaptation. [12] Dry eye and exposure keratitis can destroy the function of the ocular surface. Therefore, proper postoperative management is seriously important to avoid complications of ocular surface.…”

“…[14] The traditional postoperative nursing strategy of using eyedrops and gauzing does not prevent the occurrence of lagophthalmos after frontalis suspension surgery. [10–12]…”