Ptosis Correction in the Context of the Treatment of External Congenital Ophthalmoplegia

D'Esposito, M; Bonavolontà, Giulio; Magli, Adriano; Aurilia, P.

doi:10.1097/00002341-198909000-00004

Cited by 6 publications

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“…The surgical management performed on individuals with CFEOM in this study can be summarized as follows[40]: an Inferior Recti Muscles recession was generally performed (II:2, II:4, III:1, III:2, III:3, III:5, III:7). If this was not possible because of muscle contractures, surgery was performed directly on the Superior Recti Muscles (III:4).…”

Section: Discussionmentioning

confidence: 99%

Clinical and surgical data of affected members of a classic CFEOM 1 family

et al. 2003

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BackgroundCongenital fibiosis of the extraocular muscles (CFEOM1) refers to a group of congenital eye movement disorders that are characterized by non-progressive restrictive ophthalmoplegia. We present clinical and surgical data on affected members of a classic CFEOM1 family.MethodsTen members of a fifteen-member, three-generation Italian family affected by classic CFEOM participated in this study. Each affected family member underwent ophthalmologic (corrected visual acuity, pupillary function, anterior segment and fundus examination), orthoptic (cover test, cover-uncover test, prism alternate cover test), and preoperative examinations. Eight of the ten affected members had surgery and underwent postoperative examinations. Surgical procedures are listed.ResultsAll affected members were born with varying degrees of bilateral ptosis and ophthalmoplegia with both eyes fixed in a hypotropic position (classic CFEOM). The affected members clinical data prior to surgery, surgery procedures and postoperative outcomes are presented. On 14 operated eyes to correct ptosis there was an improvement in 12 eyes. In addition, the head position improved in all patients.ConclusionsSurgery is effective at improving ptosis in the majority of patients with classic CFEOM. However, the surgical approach should be individualized to each patient, as inherited CFEOM exhibits variable expressivity and the clinical features may differ markedly between affected individuals, even within the same family.

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Section: Discussionmentioning

confidence: 99%