Study on Management of Ptosis by Different Surgical Modalities
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Keywords:
MRD-Marginal Reflex Distance, ePTFE-Poly Tetra Fluoro Ethylene, B/L-Bilateral, U/L-Unilateral, FS-, Fasanella Servat, FSling-Frontalis Sling, LR-Levator Resection.Dimensions Badge
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Abstract
Background
Ptosis is derived from the greek word for falling and is the medical terminology describing a drooping or
abnormal lowering of an anatomical area. Ptosis that obstruct the pupil may interfere with the normal
2 development of vision, resulting in amblyopia in children . In adult it may impair the field of vision and
interfere with activities of daily living Ptosis is broadly classified into congenital and acquired, based on age
of onset of the ptosis. Ptosis that is present at birth or within the first year of life is called congenital ptosis.
Ptosis that presents after the age of one year is termed acquired ptosis. The treatment of ptosis depends
upon the underlaying etiology. Ptosis usually does not improve over time and nearly always require
corrective surgery. Depending upon the severity of congenital ptosis, patients should be monitored every 3-
12 months for sign of amblyopia due to congenital ptosis. In mild cases of congenital ptosis observation is
sufficient, if no sign of amblyopia, strabismus and abnormal head posture are present.
Methods
This study was conducted in the Upgraded Department of Ophthalmology, LLRM Medical College, Meerut
during 2018–2019.
Study design-A Population based Prospective interventional study was done on patients selected from OPD
and camps during 2018-2019.
Plan & Work All patients with ptosis who are attending ophthalmology OPD and admitted in eye wards
were included in the study provided they fulfill the inclusion criteria.
Results And Conclusion
The subjects in our study were more males 12(66.66%) than females(33.33%). In our study there were
12(66.66%) patients of myogenic ptosis, out of them 11(61.11%) had frontalis sling surgery and 1(5.55%)
had levator resection surgery.
There was 2(11.11%) cases of neurogenic ptosis which was congenital in nature and in which 1(5.55%) is
operated with frontalis sling &1(5.55%) with levator resection surgery. Most commonly performed surgery
was frontalis sling 14(77.77%) followed by levator resection 2(11.11%) and 2(11.11%).
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