Severe unilateral congenital ptosis with poor levator function:tarsoconjunctival mullerectomy plus levator resection vs frontalis sling procedure  

作　　者：Abolfazl Kasaee Mostafa Aliabadi Laily Najafi Mansooreh Jamshidian-Tehrani 

机构地区：[1]Farabi Eye Hospital,Tehran University of Medical Sciences(TUMS),Tehran 1336616351,Iran [2]Endocrine Research Center,Institute of Endocrinology and Metabolism,Iran University of Medical Sciences(IUMS),Tehran 1593716615,Iran [3]Ophthalmic Plastic Surgery,Farabi Eye Hospital,Tehran University of Medical Sciences(TUMS),Tehran 1336616351,Iran

出　　处：《International Journal of Ophthalmology(English edition)》2022年第8期1254-1260,共7页国际眼科杂志（英文版）

基　　金：Supported by Tehran University of Medical Sciences(No.9511257008)。

摘　　要：AIM:To compare frontalis sling and tarsoconjunctival mullerectomy plus levator resection(TCMLR)in subjects with severe unilateral congenital ptosis with poor levator function(LF).METHODS:A prospective non-randomized nonblinded single center clinical trial.Fifty patients with severe unilateral congenital ptosis with poor LF were recruited.The frontalis sling and TCMLR were performed and the functional,cosmetic outcomes,complications,and success rate were evaluated at 1,3,and 6mo postoperatively.The t-test,Chi-square,Fishers exact,and nonparametric MannWhitney tests were used by SPSS software.RESULTS:Frontalis sling and TCMLR procedures were performed on 26 and 24 patients respectively.The mean age was 10.97±10.67y.LF was significantly better in the TCMLR group at months 1,3,and 6(P=0.002).Lagophthalmos was more common in the TCMLR group(no significant difference).At month 3,mild punctate epithelial erosions were observed more in the frontalis sling group(P=0.002).Significant complete success rate of 1st and 6th month for the frontalis sling vs TCMLR groups were 50%vs 20.8%(P=0.02),and 38.4%vs 50%(P=0.03)respectively.CONCLUSION:Complete success rate of TCMLR is higher in long-term follow-up in contrast with the frontalis sling in the short-term.Transient complications are more detected in mid-term follow-ups in both groups.

关 键 词：tarsoconjunctival mullerectomy levator resection frontalis sling congenital ptosis 

分 类 号：R779.6[医药卫生—眼科]