Congenital blepharoptosis: Comparison of two surgical approach results- final study results
Author: nur khatib
Base Hospital / Institution: Ha Emek Medical Center, Afola, Israel
ePoster presentation
Abstract ID: 24-364
Purpose
Congenital blepharoptosis presents within the first year of life either in isolation or as a part of many different ocular or systemic disorders. Surgical repair is challenging, and recurrence necessitating more than one operation is not uncommon.
Methods
Retrospective clinical analysis comprised 92 children (age range 0;17) with eyelid ptosis, 28 underwent frontalis sling operation while 64 underwent levator resection. All patietns underwent surgical corrections at the Department of ophthalmology of HaEmek Medical Center, between 2006 and 2023, were reviewed. We evaluated Gender predilection, Ethnic origin, type of primary defect, degree of ptosis and recurrence rate according to the chosen surgical method.
Results
The median age of patients in the frontalis sling group was younger compared to those in the resection group (3 vs 6 years, respectively; P=0.073). The mean follow-up time (in months) for patients in the frontalis sling and levator resection groups was 24.44±28.32 and 17.98±23.79, respectively (P=0.164).There were no significant differences in the success or failure outcomes of the operations between the two groups. Amonge patietnts with MRD1 pre-operation is zero or plus, then the MRD1 post-operation is better in the levator resection group compared to the frontalis sling group (〖MRD1〗_Zero: 1.85 ±1.7 vs 0.89 ±1.04; 〖MRD1〗_Plus: 2.79 ±1.18 vs 1.93 ±1.13) . Conversely, amonge patietns with MRD1 pre-operation is minus, then the frontalis sling group performs better than the levator resection group (〖MRD1〗_Minus: 1.93 ±1.17 vs 1.61 ±1.19).
Conclusion
Ptosis rated as MR1 below 0 it is recommended to use the frontalis sling approach. for ptosis rated as MRD1 0 or above is recommended to use the levator resection approach.The above classification could be a substitute for the levator muscle function test which is difficult to perform and and its accuracy is questionable in the children’s population.
Additional Authors
| First name | Last name | Base Hospital / Institution |
|---|---|---|
| lena | Balilty | Ha Emek Medical Center, Afola, Israel |
| daniel | Misinkevich | Ha Emek Medical Center, Afola, Israel |
| mira | abu-arab | Ha Emek Medical Center, Afola, Israel |
| Ha Emek Medical Center, Afola, Israel |
