Factors related to amblyopia in congenital ptosis after frontalis sling surgery
Abstract Background Amblyopia is a main concern in children undergoing frontalis sling surgery for repairing congenital ptosis. This study aimed to evaluate factors related to amblyopia in children undergoing frontalis sling surgery. Methods IRB-approved retrospective review of children under the ag...
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| Format: | Article |
| Language: | English |
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BMC
2018-11-01
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| Series: | BMC Ophthalmology |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12886-018-0962-4 |
| _version_ | 1819072870129598464 |
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| author | Youn-Shen Bee Pei-Jhen Tsai Muh-Chiou Lin Ming-Ying Chu |
| author_facet | Youn-Shen Bee Pei-Jhen Tsai Muh-Chiou Lin Ming-Ying Chu |
| author_sort | Youn-Shen Bee |
| collection | DOAJ |
| description | Abstract Background Amblyopia is a main concern in children undergoing frontalis sling surgery for repairing congenital ptosis. This study aimed to evaluate factors related to amblyopia in children undergoing frontalis sling surgery. Methods IRB-approved retrospective review of children under the age of 12 who received frontalis sling surgery. Preoperative demographic data, strabismus, margin reflex distance 1 (MRD1), lid fissure height, sling type, refraction errors, surgical outcome and amblyopia were evaluated. Results This study included 48 eyelid procedures performed in 38 patients. Median age was 4.0 years. Etiology was congenital ptosis in 42 eyes (87.5%) and blepharophimosis in 6 eyes (12.5%). Mersilene mesh was the sling material used in 36 eyes (75%), silicone in 6 eyes (12.5%), and polytetrafluoroethylene (PTFE) in 6 eyes (12.5%). Mean duration of follow-up was 27.8 ± 25.0 months (range, 3 to 128 months). Amblyopia was observed in 17 eyes (35.4%) at the final follow-up. Factors significantly associated with final amblyopia included blepharophimosis (p = 0.017), preoperative MRD1 ≤ − 1.0 mm (p = 0.038), preoperative lid fissure ≤4.5 mm (p = 0.035), preoperative anisometropia (spherical equivalent) (p = 0.011), and postoperative astigmatism (p = 0.026). Conclusions Study results suggest that blepharophimosis, preoperative MRD1 ≤ − 1.0 mm, preoperative lid fissure ≤4.5 mm, preoperative anisometropia (spherical equivalent), and postoperative astigmatism are associated with amblyopia after frontalis sling surgery in patients with congenital ptosis. |
| first_indexed | 2024-12-21T17:44:35Z |
| format | Article |
| id | doaj.art-669ccbd7f2f34215b32d120f72f67885 |
| institution | Directory Open Access Journal |
| issn | 1471-2415 |
| language | English |
| last_indexed | 2024-12-21T17:44:35Z |
| publishDate | 2018-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Ophthalmology |
| spelling | doaj.art-669ccbd7f2f34215b32d120f72f678852022-12-21T18:55:31ZengBMCBMC Ophthalmology1471-24152018-11-011811710.1186/s12886-018-0962-4Factors related to amblyopia in congenital ptosis after frontalis sling surgeryYoun-Shen Bee0Pei-Jhen Tsai1Muh-Chiou Lin2Ming-Ying Chu3Department of Ophthalmology, Kaohsiung Veterans General HospitalDepartment of Ophthalmology, Kaohsiung Veterans General HospitalDepartment of Ophthalmology, Kaohsiung Veterans General HospitalDepartment of Ophthalmology, Kaohsiung Veterans General HospitalAbstract Background Amblyopia is a main concern in children undergoing frontalis sling surgery for repairing congenital ptosis. This study aimed to evaluate factors related to amblyopia in children undergoing frontalis sling surgery. Methods IRB-approved retrospective review of children under the age of 12 who received frontalis sling surgery. Preoperative demographic data, strabismus, margin reflex distance 1 (MRD1), lid fissure height, sling type, refraction errors, surgical outcome and amblyopia were evaluated. Results This study included 48 eyelid procedures performed in 38 patients. Median age was 4.0 years. Etiology was congenital ptosis in 42 eyes (87.5%) and blepharophimosis in 6 eyes (12.5%). Mersilene mesh was the sling material used in 36 eyes (75%), silicone in 6 eyes (12.5%), and polytetrafluoroethylene (PTFE) in 6 eyes (12.5%). Mean duration of follow-up was 27.8 ± 25.0 months (range, 3 to 128 months). Amblyopia was observed in 17 eyes (35.4%) at the final follow-up. Factors significantly associated with final amblyopia included blepharophimosis (p = 0.017), preoperative MRD1 ≤ − 1.0 mm (p = 0.038), preoperative lid fissure ≤4.5 mm (p = 0.035), preoperative anisometropia (spherical equivalent) (p = 0.011), and postoperative astigmatism (p = 0.026). Conclusions Study results suggest that blepharophimosis, preoperative MRD1 ≤ − 1.0 mm, preoperative lid fissure ≤4.5 mm, preoperative anisometropia (spherical equivalent), and postoperative astigmatism are associated with amblyopia after frontalis sling surgery in patients with congenital ptosis.http://link.springer.com/article/10.1186/s12886-018-0962-4Congenital ptosisFrontalis sling suspensionAmblyopiaMersilene meshSilicone rodePolytetrafluoroethylene |
| spellingShingle | Youn-Shen Bee Pei-Jhen Tsai Muh-Chiou Lin Ming-Ying Chu Factors related to amblyopia in congenital ptosis after frontalis sling surgery BMC Ophthalmology Congenital ptosis Frontalis sling suspension Amblyopia Mersilene mesh Silicone rode Polytetrafluoroethylene |
| title | Factors related to amblyopia in congenital ptosis after frontalis sling surgery |
| title_full | Factors related to amblyopia in congenital ptosis after frontalis sling surgery |
| title_fullStr | Factors related to amblyopia in congenital ptosis after frontalis sling surgery |
| title_full_unstemmed | Factors related to amblyopia in congenital ptosis after frontalis sling surgery |
| title_short | Factors related to amblyopia in congenital ptosis after frontalis sling surgery |
| title_sort | factors related to amblyopia in congenital ptosis after frontalis sling surgery |
| topic | Congenital ptosis Frontalis sling suspension Amblyopia Mersilene mesh Silicone rode Polytetrafluoroethylene |
| url | http://link.springer.com/article/10.1186/s12886-018-0962-4 |
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