Abstract
Purpose: To predict eyelid height after frontalis suspension using autogenous fascia lata for congenital ptosis. Design: Retrospective, observational case series. Methods: Eighty eyes of 54 children who underwent frontalis suspension using autogenous fascia lata were included. The amount of intraoperative eyelid lift and the postoperative change in eyelid height were assessed 6 months after surgery by reviews of photographs and medical records. The amount of operative eyelid lift was measured from 2 different baselines, and each amount was compared with the amount of real change in eyelid height after surgery. The difference between those was measured. Results: The postoperative eyelid height stabilized 3 months after surgery. The average amount of operative eyelid lift was 5.91 mm with anesthesia-induced lagophthalmos and 3.51 mm without. The amount of real change in eyelid height after surgery was 3.24 ± 1.14 mm. In less severe ptosis (< 3 mm of lift), an average operative lift of 2.03 mm resulted in 2.53 mm of elevation, whereas in more severe ptosis (< 4 mm of lift), an average operative lift of 3.98 mm resulted in only 3.72 mm of elevation 6 months after surgery. The preoperative palpebral fissure (P =.002) and anesthesia-induced lagophthalmos (P <.001) were significant factors influencing postoperative eyelid height. Conclusions: Postoperative eyelid height may predicted be more accurately by compensating for anesthesia-induced lagophthalmos and adjusting the palpebral fissure to be larger than the desired eyelid height for patients with more severe ptosis.
| Original language | English |
|---|---|
| Journal | American Journal of Ophthalmology |
| Volume | 153 |
| Issue number | 2 |
| DOIs | |
| Publication status | Published - 2012 Jan 1 |
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All Science Journal Classification (ASJC) codes
- Ophthalmology
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Prediction of postoperative eyelid height after frontalis suspension using autogenous fascia lata for pediatric congenital ptosis. / Kim, Chang Yeom; Yoon, Jinsook; Bae, Jong Myon; Lee, Sang Yeul.
In: American Journal of Ophthalmology, Vol. 153, No. 2, 01.01.2012.Research output: Contribution to journal › Article
TY - JOUR
T1 - Prediction of postoperative eyelid height after frontalis suspension using autogenous fascia lata for pediatric congenital ptosis
AU - Kim, Chang Yeom
AU - Yoon, Jinsook
AU - Bae, Jong Myon
AU - Lee, Sang Yeul
PY - 2012/1/1
Y1 - 2012/1/1
N2 - Purpose: To predict eyelid height after frontalis suspension using autogenous fascia lata for congenital ptosis. Design: Retrospective, observational case series. Methods: Eighty eyes of 54 children who underwent frontalis suspension using autogenous fascia lata were included. The amount of intraoperative eyelid lift and the postoperative change in eyelid height were assessed 6 months after surgery by reviews of photographs and medical records. The amount of operative eyelid lift was measured from 2 different baselines, and each amount was compared with the amount of real change in eyelid height after surgery. The difference between those was measured. Results: The postoperative eyelid height stabilized 3 months after surgery. The average amount of operative eyelid lift was 5.91 mm with anesthesia-induced lagophthalmos and 3.51 mm without. The amount of real change in eyelid height after surgery was 3.24 ± 1.14 mm. In less severe ptosis (< 3 mm of lift), an average operative lift of 2.03 mm resulted in 2.53 mm of elevation, whereas in more severe ptosis (< 4 mm of lift), an average operative lift of 3.98 mm resulted in only 3.72 mm of elevation 6 months after surgery. The preoperative palpebral fissure (P =.002) and anesthesia-induced lagophthalmos (P <.001) were significant factors influencing postoperative eyelid height. Conclusions: Postoperative eyelid height may predicted be more accurately by compensating for anesthesia-induced lagophthalmos and adjusting the palpebral fissure to be larger than the desired eyelid height for patients with more severe ptosis.
AB - Purpose: To predict eyelid height after frontalis suspension using autogenous fascia lata for congenital ptosis. Design: Retrospective, observational case series. Methods: Eighty eyes of 54 children who underwent frontalis suspension using autogenous fascia lata were included. The amount of intraoperative eyelid lift and the postoperative change in eyelid height were assessed 6 months after surgery by reviews of photographs and medical records. The amount of operative eyelid lift was measured from 2 different baselines, and each amount was compared with the amount of real change in eyelid height after surgery. The difference between those was measured. Results: The postoperative eyelid height stabilized 3 months after surgery. The average amount of operative eyelid lift was 5.91 mm with anesthesia-induced lagophthalmos and 3.51 mm without. The amount of real change in eyelid height after surgery was 3.24 ± 1.14 mm. In less severe ptosis (< 3 mm of lift), an average operative lift of 2.03 mm resulted in 2.53 mm of elevation, whereas in more severe ptosis (< 4 mm of lift), an average operative lift of 3.98 mm resulted in only 3.72 mm of elevation 6 months after surgery. The preoperative palpebral fissure (P =.002) and anesthesia-induced lagophthalmos (P <.001) were significant factors influencing postoperative eyelid height. Conclusions: Postoperative eyelid height may predicted be more accurately by compensating for anesthesia-induced lagophthalmos and adjusting the palpebral fissure to be larger than the desired eyelid height for patients with more severe ptosis.
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UR - http://www.scopus.com/inward/citedby.url?scp=84856022607&partnerID=8YFLogxK
U2 - 10.1016/j.ajo.2011.07.023
DO - 10.1016/j.ajo.2011.07.023
M3 - Article
C2 - 21982105
AN - SCOPUS:84856022607
VL - 153
JO - American Journal of Ophthalmology
JF - American Journal of Ophthalmology
SN - 0002-9394
IS - 2
ER -