Prediction of postoperative eyelid height after frontalis suspension using autogenous fascia lata for pediatric congenital ptosis

Chang Yeom Kim, Jinsook Yoon, Jong Myon Bae, Sang Yeul Lee

Research output: Contribution to journalArticle

4 Citations (Scopus)

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 languageEnglish
JournalAmerican Journal of Ophthalmology
Volume153
Issue number2
DOIs
Publication statusPublished - 2012 Jan 1

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Fascia Lata
Eyelids
Suspensions
Pediatrics
Anesthesia
Medical Records

All Science Journal Classification (ASJC) codes

  • Ophthalmology

Cite this

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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.",
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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 journalArticle

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