Treatment of Congenital Myogenic Ptosis with Frontalis Suspension Surgery

Ptosis repair is a challenging oculoplastic surgical procedure that requires correct diagnosis, thoughtful planning, thorough understanding of eyelid anatomy, experience, and good surgical technique. Ptosis can causefunctional problem and cosmetic issue.Thisstudywasreport 2 cases of congenital myoge...

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Main Authors: Shaelva Lassa Sabatini, Riani Erna
Format: Article
Language:Indonesian
Published: Universitas Sriwijaya 2016-04-01
Series:Jurnal Kedokteran dan Kesehatan
Online Access:https://ejournal.unsri.ac.id/index.php/jkk/article/view/2889
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author Shaelva Lassa Sabatini
Riani Erna
author_facet Shaelva Lassa Sabatini
Riani Erna
author_sort Shaelva Lassa Sabatini
collection DOAJ
description Ptosis repair is a challenging oculoplastic surgical procedure that requires correct diagnosis, thoughtful planning, thorough understanding of eyelid anatomy, experience, and good surgical technique. Ptosis can causefunctional problem and cosmetic issue.Thisstudywasreport 2 cases of congenital myogenic ptosis which were treated with frontalis suspension surgery.Case report,a 11-year old and a 20-year old girl came to our clinic with chief complain drooping in the upper eyelid RE since their childhood. Patients also complained difficulty of reading. The degree of ptosis during the day was the same. No diplopia, dysphonia, dyspnea, and dysphagia. VA 20/20 in the both eyes. Ocular motility were normal. MRD1 0 mm, FP 5 mm, no upper eyelid crease, LF 4 mm, no lagophthalmos, eyelid lag present, upper eyelid RE higher than LE in down gaze, and Bells phenomenon normal. Light reflex of pupil positive and diameter 3 mm in standard room illumination. Schimer test and TBUT were within normal. We diagnosed these patients with congenital myogenic ptosis RE and performed frontalis suspension surgery with autogenous tensor fascia lata.Postoperative, for first patient we got MRD1 2 mm and FP 7 mm. For second patient we got MRD14 mm and FP 9 mm. Patients had no complain drooping in the upper eyelid RE and difficulty of reading anymore.Frontalis suspension surgery is a way to treat patient with congenital myogenic ptosis who have poor levator function.
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spelling doaj.art-cb3b3445654f4145b77e2a44661662202022-12-22T00:13:39ZindUniversitas SriwijayaJurnal Kedokteran dan Kesehatan2406-74312614-04112016-04-01314214241374Treatment of Congenital Myogenic Ptosis with Frontalis Suspension SurgeryShaelva Lassa SabatiniRiani ErnaPtosis repair is a challenging oculoplastic surgical procedure that requires correct diagnosis, thoughtful planning, thorough understanding of eyelid anatomy, experience, and good surgical technique. Ptosis can causefunctional problem and cosmetic issue.Thisstudywasreport 2 cases of congenital myogenic ptosis which were treated with frontalis suspension surgery.Case report,a 11-year old and a 20-year old girl came to our clinic with chief complain drooping in the upper eyelid RE since their childhood. Patients also complained difficulty of reading. The degree of ptosis during the day was the same. No diplopia, dysphonia, dyspnea, and dysphagia. VA 20/20 in the both eyes. Ocular motility were normal. MRD1 0 mm, FP 5 mm, no upper eyelid crease, LF 4 mm, no lagophthalmos, eyelid lag present, upper eyelid RE higher than LE in down gaze, and Bells phenomenon normal. Light reflex of pupil positive and diameter 3 mm in standard room illumination. Schimer test and TBUT were within normal. We diagnosed these patients with congenital myogenic ptosis RE and performed frontalis suspension surgery with autogenous tensor fascia lata.Postoperative, for first patient we got MRD1 2 mm and FP 7 mm. For second patient we got MRD14 mm and FP 9 mm. Patients had no complain drooping in the upper eyelid RE and difficulty of reading anymore.Frontalis suspension surgery is a way to treat patient with congenital myogenic ptosis who have poor levator function.https://ejournal.unsri.ac.id/index.php/jkk/article/view/2889
spellingShingle Shaelva Lassa Sabatini
Riani Erna
Treatment of Congenital Myogenic Ptosis with Frontalis Suspension Surgery
Jurnal Kedokteran dan Kesehatan
title Treatment of Congenital Myogenic Ptosis with Frontalis Suspension Surgery
title_full Treatment of Congenital Myogenic Ptosis with Frontalis Suspension Surgery
title_fullStr Treatment of Congenital Myogenic Ptosis with Frontalis Suspension Surgery
title_full_unstemmed Treatment of Congenital Myogenic Ptosis with Frontalis Suspension Surgery
title_short Treatment of Congenital Myogenic Ptosis with Frontalis Suspension Surgery
title_sort treatment of congenital myogenic ptosis with frontalis suspension surgery
url https://ejournal.unsri.ac.id/index.php/jkk/article/view/2889
work_keys_str_mv AT shaelvalassasabatini treatmentofcongenitalmyogenicptosiswithfrontalissuspensionsurgery
AT rianierna treatmentofcongenitalmyogenicptosiswithfrontalissuspensionsurgery