Improved Visual Acuity after Frontalis Sling Surgery for Simple Congenital Ptosis
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| Format: | Artículo científico |
| Langue: | en |
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Medical Education Cooperation with Cuba
2011
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| _version_ | 1876456377542508544 |
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| author | Gustavo Rodríguez |
| author_facet | Gustavo Rodríguez |
| contents | Improved Visual Acuity after Frontalis Sling Surgery for Simple Congenital Ptosis Gustavo Rodríguez Ileana Agramonte Irene Rojas Teresita de Jesús Méndez Susana Vilar Milagros Dorrego Medicina Cuba amblyopia congenital Blepharoptosis blepharoplasty INTRODUCTION Congenital ptosis is malpositioning of the eyelids that, when moderate or severe, can negatively affect visual devel- opment during its critical period, resulting in amblyopia: diminished visual acuity with no apparent organic cause. Early diagnosis and timely treatment are essential for preventing amblyopia. Congenital ptosis is uncommon but poses a challenge to any ophthalmologist; the only treatment is surgical. Among these patients in Cuba, those with the most complex clinical characteristics are generally referred to the Ramón Pando Ferrer Ophthalmology Institute in Havana. OBJECTIVE Characterize visual acuity outcomes obtained in patients seen at this Institute who received surgery for simple congenital ptosis using the frontalis sling procedure. METHOD A descriptive prospective longitudinal study was conducted to describe visual acuity outcomes in 11 patients with a diagnosis of isolated congenital ptosis seen in the Oculoplastic Service of the Ramón Pando Ferrer Ophthalmology Institute between January and July 2009 and operated on using the frontalis sling procedure. The majority exhibited severe visual acuity impairment (0.1–0.5) prior to surgery. Variables employed were age, sex, degree of ptosis, degree of ptosis correction, visual acuity, and complications during surgery and postoperatively. RESULTS Male patients aged 1–4 years predominated. Visual acuity improved in 100% of patients, to varying degrees. Prior to surgery, 72% had visual acuity of 0.1–0.5. Six months post-surgery, with vi- sual rehabilitation, 90.9% exhibited visual acuity of >0.5. In 81.8% of patients, palpebral ptosis was fully corrected. Complications were minimal: injury to the palpebral tarsus and undercorrection were the most common and did not affect final surgical outcome or interfere with rehabilitation. CONCLUSIONS Correction of congenital ptosis using the frontalis sling technique yielded satisfactory visual acuity outcomes, contributing to visual rehabilitation of the affected patients. 2011 artículo científico 1555-7960 https://www.redalyc.org/articulo.oa?id=437542077007 en http://www.redalyc.org/revista.oa?id=4375 MEDICC Review application/pdf Medical Education Cooperation with Cuba MEDICC Review (Estados Unidos de América) Num.1 Vol.13 |
| format | Artículo científico |
| id | redalyc_437542077007 |
| institution | Redalyc |
| language | en |
| publishDate | 2011 |
| publisher | Medical Education Cooperation with Cuba |
| spellingShingle | Improved Visual Acuity after Frontalis Sling Surgery for Simple Congenital Ptosis Gustavo Rodríguez Medicina Cuba amblyopia congenital Blepharoptosis blepharoplasty Improved Visual Acuity after Frontalis Sling Surgery for Simple Congenital Ptosis Gustavo Rodríguez Ileana Agramonte Irene Rojas Teresita de Jesús Méndez Susana Vilar Milagros Dorrego Medicina Cuba amblyopia congenital Blepharoptosis blepharoplasty INTRODUCTION Congenital ptosis is malpositioning of the eyelids that, when moderate or severe, can negatively affect visual devel- opment during its critical period, resulting in amblyopia: diminished visual acuity with no apparent organic cause. Early diagnosis and timely treatment are essential for preventing amblyopia. Congenital ptosis is uncommon but poses a challenge to any ophthalmologist; the only treatment is surgical. Among these patients in Cuba, those with the most complex clinical characteristics are generally referred to the Ramón Pando Ferrer Ophthalmology Institute in Havana. OBJECTIVE Characterize visual acuity outcomes obtained in patients seen at this Institute who received surgery for simple congenital ptosis using the frontalis sling procedure. METHOD A descriptive prospective longitudinal study was conducted to describe visual acuity outcomes in 11 patients with a diagnosis of isolated congenital ptosis seen in the Oculoplastic Service of the Ramón Pando Ferrer Ophthalmology Institute between January and July 2009 and operated on using the frontalis sling procedure. The majority exhibited severe visual acuity impairment (0.1–0.5) prior to surgery. Variables employed were age, sex, degree of ptosis, degree of ptosis correction, visual acuity, and complications during surgery and postoperatively. RESULTS Male patients aged 1–4 years predominated. Visual acuity improved in 100% of patients, to varying degrees. Prior to surgery, 72% had visual acuity of 0.1–0.5. Six months post-surgery, with vi- sual rehabilitation, 90.9% exhibited visual acuity of >0.5. In 81.8% of patients, palpebral ptosis was fully corrected. Complications were minimal: injury to the palpebral tarsus and undercorrection were the most common and did not affect final surgical outcome or interfere with rehabilitation. CONCLUSIONS Correction of congenital ptosis using the frontalis sling technique yielded satisfactory visual acuity outcomes, contributing to visual rehabilitation of the affected patients. 2011 artículo científico 1555-7960 https://www.redalyc.org/articulo.oa?id=437542077007 en http://www.redalyc.org/revista.oa?id=4375 MEDICC Review application/pdf Medical Education Cooperation with Cuba MEDICC Review (Estados Unidos de América) Num.1 Vol.13 |
| title | Improved Visual Acuity after Frontalis Sling Surgery for Simple Congenital Ptosis |
| topic | Medicina Cuba amblyopia congenital Blepharoptosis blepharoplasty |
| url | https://www.redalyc.org/articulo.oa?id=437542077007 |