Study of the Outcome of Various Surgical Procedures for Simple Congenital Blepharoptosis

Abstract

AIM & OBJECTIVE:The aim of the study is to evaluate the functional and cosmetic outcome and compare the complications of various ptosis surgeries done for simple congenital ptosis at a tertiary care hospital. METHODS: 46 patients with 52 eyelids having undergone ptosis surgery for congenital simple blepharoptosis were included in our study. Patients of all age groups and either sex which post-operatively completed a follow-up period at 1, 3, 6 months were included in the study and grouped under four groups-levator resection, silicon sling, Fascia Lata sling, Fasanella Servat surgery. The postoperative outcome and complications were noted in all cases. RESULTS: Out of 52 eyelids operated for blepharoptosis, 45 cases (86.54%) had good, 5 (9.62%) had fair and 2 (4.35%) had poor post-operative outcome. Though on applying the chi square test there was no significant difference observed in the cosmetic and functional outcome between all the groups but the maximum number of complications was noted in the silicon sling group. CONCLUSION: With the selection of the right surgery depending on amount of ptosis and levator muscle action we could achieve good cosmetic correction and minimal complications in most of our cases.

Severe unilateral congenital ptosis with poor levator function: tarsoconjunctival mullerectomy plus levator resection vs frontalis sling procedure

“…At the end of study, no significant difference was reported between two surgeries in terms of cosmetic and functional outcomes, although complications were greater in the frontalis sling group. Good LF selection for TCMLR procedure in Kabra and Khatri's [27] study may explain the difference with the present study. In the present study, no significant visual complications were observed in any of the studied groups.…”

“…The mean age was lower in the frontalis sling group than in the TCMLR similar to Whitehouse et al [26] mean age. The mean age of Kabra and Khatri's study [27] was 15.85y. The etiology of late age diagnosis in the present study and the other studies is the lack of awareness about the possible visual and fascial cosmetic abnormalities associated with ptosis and the disability to describe the complications in children and incomplete growth of the tarsus make the surgeons to prefer frontalis sling instead of TCMLR in children group.…”

“…In the first month, the complete success rate of frontalis sling group was significantly higher than the TCMLR group which was inversed in the 6 th month. Kabra and Khatri's [27] reported the results of various surgeries on 52 eyelids with congenital ptosis with a follow-up period of 1, 3, and 6mo. They performed TCMLR for the patients with good LF and mild ptosis and considered frontalis sling surgery for the patients with weak LF and severe ptosis.…”