Efficacy of brow suspension with autogenous fascia lata in simple congenital ptosis

Ali, Farhan and Khan, Muhammad Saim and Sharjeel, Muhammad and Din, Zaheer Ud and Murtaza, Bilal and Khan, Asfandyar (2017) Efficacy of brow suspension with autogenous fascia lata in simple congenital ptosis. Pakistan Journal of Medical Sciences, 33 (2). ISSN 1681-715X

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Abstract

Objective: To assess the mean change in interpalpebral fissure height and marginal reflex distance after brow suspension with autogenous fascia lata sling in patients of ptosis.

Methods: This was a Quasi experimental study conducted at Department of Ophthalmology, Mayo Hospital, King Edwards Medical University Lahore, from Jan 2013 to June 2016. Included were the patients who had unilateral or bilateral ptosis with poor levator function (< 5 mm). Informed consent was obtained from all patients after explaining about the research project. Patients were admitted in ward and all of them underwent surgery by a single surgical team. The surgical procedure was performed in supine position under general anesthesia in children and uncooperative patients. Patients were followed at week 4, 8, 12 and 24 to observe vertical interpalpebral fissure height and marginal reflex distance.

Results: The mean age of the patients was 9.03 ± 5.26 years. The mean Inter palpebral fissure height (IPFH) was 4.40±0.91 mm and mean MRD was 0.50 ± 1.00 mm before surgery while after surgery it was 7.41±0.76 mm and 3.10 ± 1.50 mm respectively at 04 weeks. The mean IPFH and MRD at 24 weeks postoperatively were 8.43±0.98 mm and 3.60 + 1.50 mm respectively. The mean change in IPFH and MRD at 24th week, were 3.90 ± 0.34 mm and 3.50 ± 1.00 mm.

Conclusion: Brow suspension with fascia lata sling is safe and effective technique for correction of ptosis with poor levator function.

Item Type: Article
Subjects: Eurolib Press > Medical Science
Depositing User: Managing Editor
Date Deposited: 26 Apr 2023 04:39
Last Modified: 23 Jan 2024 04:16
URI: http://info.submit4journal.com/id/eprint/1701

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