Improved Visual Acuity after Frontalis Sling Surgery for Simple Congenital Ptosis

Rodríguez, Gustavo; Agramonte, Ileana; Rojas, Irene; Méndez, Teresita de Jesús; Vilar, Susana Yáñez; Dorrego, M. D. Ponce

doi:10.37757/mr2011v13.n1.7

Cited by 3 publications

(1 citation statement)

References 6 publications

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“…In Rodriguez et al study's, there were 63.6% patients with moderate ptosis and 36.4% patients with severe ptosis, the degree of ptosis is very similar to our study. 15 We performed the sling procedure to correct congenital ptosis and assessed the degree of ptosis found after the correction of ptosis. The Frontalis sling procedure is strongly indicated in cases with poor or unapparent levator muscle function, as was in our study.…”

Section: Discussionmentioning

confidence: 99%

Postoperative Visual Outcome: Sling procedure with prolene sutures in children with simple congenital ptosis

Shamim¹,

Hayat²,

Cheema³

2021

Pak J Med Sci

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Objective: To assess the visual outcome after sling procedure using prolene sutures in children with simple congenital ptosis. Methods: A descriptive case series study was performed in the Department of Ophthalmology of Jinnah Post Graduate Medical Centre, for a duration of six months in which 20 patients aged 3-10 years were selected with either unilateral or bilateral congenital ptosis. They were thoroughly examined and visual acuity and degree of ptosis were measured pre-operatively. Frontalis sling surgery was performed using prolene sutures on all patients after which their visual acuity and degree of ptosis were measured once again after three months post-operatively. Data were analyzed using SPSS version 20.0. For qualitative variables, frequency and percentages were calculated. Mean and Standard deviation was commutated for the quantitative variable. Results: The mean age of the patients was 8.15±1.75. 11 (55%) male and 9 (45%) female participants were included in the study. Visual acuity improved in all the patients with all the patients attaining a visual acuity of 6/6 (n=12, 60%), 6/9 (n=7, 35%), and 6/12 (n=1, 5%). The degree of ptosis post-operatively was not found in any patient either. Conclusion: Sling procedure helped in eliminating ptosis and improved visual acuity in patients with simple congenital ptosis. doi: https://doi.org/10.12669/pjms.38.1.4359 How to cite this:Shamim N, Hayat N, Cheema A. Postoperative Visual Outcome: Sling procedure with prolene sutures in children with simple congenital ptosis. Pak J Med Sci. 2022;38(1):---------. doi: https://doi.org/10.12669/pjms.38.1.4359 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Section: Discussionmentioning

confidence: 99%

Postoperative Visual Outcome: Sling procedure with prolene sutures in children with simple congenital ptosis

Shamim¹,

Hayat²,

Cheema³

2021

Pak J Med Sci

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A Modified One-Stage Early Correction of Blepharophimosis Syndrome Using Tutopatch Slings

Savino

Mandarà

Calandriello

et al. 2015

Orbit

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Single stage surgery for Blepharophimosis syndrome

Bhattacharjee

Kuri

et al. 2012

Indian J Ophthalmol

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Purpose:The purpose of this study was to report the functional and cosmetic outcome of single stage surgical procedure for correction of the classic components of Blepharophimosis syndrome.Materials and Methods:We report a retrospective case file review of 11 patients with Blepharophimosis syndrome operated between July 2004 and April 2008. Each patient had undergone the correction of epicanthus inversus, telecanthus, palpebral phimosis, and bilateral ptosis as a single-stage surgical procedure. Patients were examined and photographed before and after surgery. The mean follow-up was 3 years (range 2-6 years).Results:A total of 11 patients (8 males, 3 females) with a mean age of 9 years (range 6--22 years) were reviewed. The surgical outcome was assessed both functionally and cosmetically. The mean preoperative visual acuity was 0.729 ± 0.316 SD and the mean postoperative visual acuity was 0.856 ± 0.277 SD (P <0.0428). There was a statistically significant decrease of astigmatism following ptosis correction (P<0.05), improvement of telecanthus (P<0.0001) in terms of IICD (inner intercanthal distance), and HPFL (horizontal palpebral fissure length) (P=0.019) along with improvement of the superior visual field. The mean preoperative and postoperative IICD was 3±0.33 SD and 2.418 ± 0.189 SD, respectively. There was also a significant postoperative improvement of ptosis (P< 0.01), as measured by IPFH (vertical interpalpebral fissure height). All the patients had a stable functional and cosmetic result after a mean follow-up period of 3 years.Conclusion:Single-stage surgical correction of the classic anomalies of Blepharophimosis syndrome provides stable and successful long-term results.

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Improved Visual Acuity after Frontalis Sling Surgery for Simple Congenital Ptosis

Cited by 3 publications

References 6 publications

Postoperative Visual Outcome: Sling procedure with prolene sutures in children with simple congenital ptosis

Postoperative Visual Outcome: Sling procedure with prolene sutures in children with simple congenital ptosis

A Modified One-Stage Early Correction of Blepharophimosis Syndrome Using Tutopatch Slings

Single stage surgery for Blepharophimosis syndrome

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