IP International Journal of Ocular Oncology and Oculoplasty


Congenital ptosis - A clinical and demographic study in a tertiary eye care hospital


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Author Details: Padma Prabha,M Padma*

Volume : 4

Issue : 4

Online ISSN : 2581-5016

Print ISSN : 2581-5024

Article First Page : 155

Article End Page : 158


Abstract

Aim: To study the clinical and demographic characteristics of Congenital Ptosis at a tertiary eye care centre.
Material and Methods: This is a retrospective study of patients admitted for surgical correction of ptosis under the department of Oculoplastics and Orbital Diseases in Sarojini Devi Eye Hospital, Hyderabad, Telangana State, over a period of 3 years from Feb 2013 to Jan 2016. Demographic data regarding age at presentation, gender, family history of ptosis and any other associated abnormalities were recorded. A detailed clinical examination was done for all the cases to determine the cause of ptosis, degree of ptosis, amount of LPS action, presence of strabismus and/or amblyopia and fundus examination. All cases of Acquired Ptosis were excluded from the study.
Observations: A total of 123 cases were reviewed in our study 56.90% cases presented after 16yrs of age. Children with congenital ptosis presenting at less than 5yrs of age constituted 8.1%. In our study 71.54% cases were unilateral. Involvement of Left eye was predominant at a rate of 60.22%. Severe ptosis (degree of ptosis 4mm and more) was present in 90.24%. Function of Levator palpebrae superioris was poor in 73.17%.
No sex predilection was noted in our study.
A family history of congenital ptosis was present in 14% of cases. 3 cases of congenital ptosis were because of 3rd nerve paralysis.
Conclusions: Simple congenital ptosis was the most common form of childhood ptosis. Uniocular involvement was found in 71.54% and a predominant involvement of the left eye in 60.22% of cases.

Keywords: Congenital ptosis, LPS function, Frontalis sling surgery.

Doi :-https://doi.org/10.18231/2581-5016.2018.0040