Postoperative Visual Outcome: Sling procedure with prolene sutures in children with simple congenital ptosis.

Nida Shamim,Alyscia Cheema,Nausheen Hayat

doi:10.12669/pjms.38.1.4359

Abstract

ABSTRACTObjective:To assess the visual outcome after sling procedure using prolene sutures in children with simple congenital ptosis.Methods:A descriptive case series study was performed in the Department of Ophthalmology of Jinnah Post Graduate Medical Centre, for a duration of six months in which 20 patients aged 3-10 years were selected with either unilateral or bilateral congenital ptosis. They were thoroughly examined and visual acuity and degree of ptosis were measured pre-operatively. Frontalis sling surgery was performed using prolene sutures on all patients after which their visual acuity and degree of ptosis were measured once again after three months post-operatively. Data were analyzed using SPSS version 20.0. For qualitative variables, frequency and percentages were calculated. Mean and Standard deviation was commutated for the quantitative variable.Results:The mean age of the patients was 8.15±1.75. 11 (55%) male and 9 (45%) female participants were included in the study. Visual acuity improved in all the patients with all the patients attaining a visual acuity of 6/6 (n=12, 60%), 6/9 (n=7, 35%), and 6/12 (n=1, 5%). The degree of ptosis post-operatively was not found in any patient either.Conclusion:Sling procedure helped in eliminating ptosis and improved visual acuity in patients with simple congenital ptosis.

Highlights

The muscle of the upper eyelid levator palpebrae superioris is supplied by the oculomotor (CN III), keeping the upper eyelid elevated.[1]
The patients were selected based on a non-probability sampling technique in which 20 patients age 3-10 years suffering from either unilateral or bilateral simple congenital ptosis were selected and underwent frontalis sling surgery with prolene 3.0 sutures
Twenty patients were included in this study, all of which had congenital ptosis unilaterally

Summary

Introduction

The muscle of the upper eyelid levator palpebrae superioris is supplied by the oculomotor (CN III), keeping the upper eyelid elevated.[1] sometimes the eyelid may drop leading to what is called Ptosis. Ptosis is the drooping or sagging of a body part.[2] Ptosis is known as blepharoptosis, is a condition in which there is an atypical lowlying upper eyelid margin in the primary gaze, leading to the narrowing of the palpebral opening and fissure. Ptosis is either presented from birth, known as congenital ptosis, or may go onto develop later in life. Congenital ptosis is a rare condition presenting with a loosening of the upper eyelids, impart due to the loss of muscular or nerve function that may be

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Discussion

Conclusion