EFFICIENCY OF BROW SUSPENSION WITH AUTOGENOUS FASCIA LATA IN SIMPLE CONGENITAL PTOSIS
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Keywords
Congenital ptosis, amblyopia, Eyelid surgery, IPFH (Inter palpebral fissure height), MRD(marginal reflex distance)
Abstract
Purpose: To study the Efficiency of brow suspension with autogenous Fascia Lata in simple congenital ptosis
Study Design: Quasi-Experimental study
Place and Duration of Study: The detailed research was conducted in the Institute of Ophthalmology, Liaquat University Hospital Jamshoro, between January 2020 and June 2021.
Material and Methods: This study included 11 subjects presenting with clinical symptoms of unilateral and bilateral ptosis along with poor levator function (<5mm). We carried out frontalis suspension surgery using autogenous fascia lata. After taking their consent, Patients' mean age, standard deviation, post-operative results were recorded. All the patients were followed up at 4 and 6 weeks, and results were evaluated using SPSS Version.20.
Results: The mean age of the subjects was 17.08± 3.629 years, where males to females percentages are 42% to 58%.The mean Inter palpebral fissure height (IPFH) was recorded to be 5.416 ±1.505 mm, and mean MRD (marginal reflex distance) recorded was -0.666 ± 1.073 mm while post-surgery the IPFH was 9.4167 ±1.312 and MRD was 3.45 ± 0.655 mm at 05-6 weeks. All the patients got relieved from congenital ptosis with the frontalis brow suspension technique.
Conclusion: There were no notable complications in the patient's and frontalis suspension is suggested to be a cost-effective and successful procedure for treating poor levator muscle functions.
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Dr. Noman Ahmed Shaikh
MBBS, MCPS, FCPS (Ophthalmology), Assistant Professor Institute Of Ophthalmology LUMHS Jamshoro.
Dr. Asadullah Jatoi
MBBS, FCPS (Ophthalmology), FCPS(Vitreo Retinal), Assistant Professor Institute Of Ophthalmology LUMHS Jamshoro.
Dr. Mona Liza Mahesar
MBBS, MS (Ophthalmology), Assistant Professor Institute Of Ophthalmology LUMHS Jamshoro.