Efficacy of brow suspension with autogenousfascia lata in simple congenital ptosis

Farhan Ali, Muhammad Saim Khan, Muhammad Sharjeel, Zaheer ud Din, Bilal Murtaza, Asfandyar Khan

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.

doi: https://doi.org/10.12669/pjms.332.11521

How to cite this:Ali F, Khan MS, Sharjeel M, Zaheer Ud Din, Murtaza B, Khan A. Efficacy of brow suspension with autogenous fascia lata in simple congenital ptosis. Pak J Med Sci. 2017;33(2):439-442.   doi: https://doi.org/10.12669/pjms.332.11521

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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