Frontal suspension congenital ptosis on bilateral
Main Article Content
Keywords
Congenital, ptosis, amblyopia
Abstract
Introduction: Ptosis is a drooping or inferodisplacement of the upper eyelid. The most common type of congenital ptosis results from a poorly developed levator muscle. Marked ptosis that obstruct vision must be corrected in infancy to prevent amblyopia. Correction of bilateral congenital ptosis with significant amblyopia was performed in this case. The choice of surgery technique is frontalis suspension.
Method: A case report of 12 years old boy with decrease of visual acuity since four years ago with dropping of both upper eyelid present at birth. Detail opthalmology examination on both eyes show an amblyopia, margin reflex distance -1, levator function is less than 4 mm, and postural change (chin lift). Correction of bilateral ptosis with frontalis suspension was performed and refraction measurement had done after correction.
Result: The frontalis suspension give a good result in cosmetic with margin reflex distance +5 and +4, sixth month after correction. However, amblyopia persist after correction of ptosis and patient use a spectacles corresponding with best refraction measurement.
Discussion: Correction bilateral congenital ptosis with visual axis occluded must be done in infancy to prevent amblyopia. Correction bilateral congenital ptosis with frontalis suspension give a good result in margin reflex distance and cosmetic.
References
2. Alon, S et al. Congenital Ptosis Repair-Surgical Cosmetic and Functional Outcome: A Report of 162 Cases. Canada Journal Opthalmology.2013: (48)2, p 93-98
3. American Academy of Ophthalmology Staff. Blepharoptosis. In: Orbit, eyelids, and lacrimal system. Basic and clinical course. Section 7. San Francisco: AAO. 2015- 2016: p. 201-203
4. American Academy of Ophthalmology Staff. Classifications. In: Orbit, eyelids, and lacrimal system. Basic and clinical course. Section 7. San Francisco: AAO. 2015-2016: p. 205
5. Baklwin, H and Manner, R. Congenital Blepharoptosis. Opthalmic Plastic and Reconstruction Surgery. 2002: 18 (4), p 301-307
6. Bilgin, LK and Yeniad, B. (2010). The Long Term Results of frontal Suspension Using Autogenous Fascia Lata in Children with Congenital ptosis under 3 Years Old.Plastic Surgery International Journal, Volume 2010, p 1-5
7. Dianjo, H, Gehong, L, Lin, F, Bing, L. (2013). Frontal Muscle Flap Suspension for the Correction of Congenital Blepharoptosis in Early Age Children.Plosone, Volume 8 Issue 1, p 1-6
8. Donny, WS, Aaron, M, Edward, W, Burkat C. (2015). Ptosis, Congenital. Journal of the American Academy of Opthalmology.Update 2015, p1-10
9. Felicia, D and Vikram, D. Current Techniques in Surgical Correction of Congenital Ptosis.Middle Ophtalmology East African Journal. 2010: 17 (2), p 129-133
10. Gupta, S. Silicone frontal Sling Suspension for Correction Blepharoptosis. Journal of Scientific Research. 2010: 3(1), p 31-33
11. Jordan DR. Ptosis In Children. Insight.Canada. 2014: 6 (4), p 1-4
12. Jhamarwla, M, Vrinda, R. An Alternative Approach to Surgical Ptosis Repair. Journal of The Bombay Ophtalmologists Association. 2014: (10)3, p154-155
13. Kasaee, A et al. Amblyogenic Assessing Factors in 100 Patients with Congenital Ptosis.International Journal of Ophthalmology. 2010: 3 (4), p 328-330
14. Khan, A, Majid, O, Wani, J. Fascia Lata frontal versus Silicone Slings Suspension for Correction of Congenital Blepharoptosis.International Journal of Medicine and Public Health Science. 2014: 3 (6), p 700-703
15. Kathleen, Z and Mark, L. Evaluation and Management of Congenital ptosis. Ocular Surgery News US. 2006: p39-40
16. Mehta, P, Patel P, Olver, JM. Functional Resuts and Complications of Mersilene Mesh Use for frontal Suspension Ptosis Surgery. Br J Ophthalmology. 2004: 88, p 361-364
17. Philandrianos, C, Galinier, P, Salazard, B, Bardot, J, Magalon, G. Congenital Ptosis: long-term outcome of frontal temporal suspension using autogenous fascia or fascia lata in children. Aesthetical Plastic Reconstruction Surgery Journal. 2009: p 44-9
18. Suyasa, AT, Djelantik, AAAS, Yuliawati, P, Manuaba, IBP, Triningrat, AAMP. The difference Clinical Patient Blefaroproptosis Congenital and Acquired at Sanglah Hospital in Denpasar. Denpasar. Faculty of Medicine, University of Udayana.Penelitian Deskriptif. 2018: p 14
19. Takahashi, Y, Leibovitch, I and Kakizaki, H. Frontal Suspension in Upper Eyelid Surgery Blepharoptosis. The Open Ophthalmology Journal. 2010: (4) p91-97
20. Yeom, KC, Yan, ZS, Sook, YJ. Positional Change of Lower Eyelid After Surgical Correction of Congenital ptosis in the Korean Population. JAMA Opthalmolog. 2013 (131) 4, p 540-542
21. Zaid, ALA, Suresh, S, Raman, M. Outcome of posterior-Approach Levatorexy in congenital ptosis. Repair. British Journal of Opthalmology. 2010: 98, p1686-1690