الفهرس | Only 14 pages are availabe for public view |
Abstract Blepharoptosis surgery is one of the most common oculoplastic procedures performed in the pediatric age group. The aim of surgery is to clear the visual axis to reduce amblyopia and to correct any anomalous head posture adopted by the patient. Another important goal is to improve appearance by producing symmetric eyelid creases and contours. This study was conducted on 30 eyelids of 20 paents suffering from congenital ptosis with poor levator function. Patients were allocated to 1 of 2 surgical groups. Group A underwent fascia lata suspension using the bitriangular sling configuration while group B was treated using the monotriangular sling configuration. Harvesting of fascia lata was conducted using a fascia lata stripper. We found that the sling configuration (mono or bitriangular) did not alter the surgical outcome. Results and complications of the monotriangular and bitriangular methods were similar. In the monotriangular method, the operation was shorter and easier, less sling material (fascia lata) was needed, and fewer eyelid skin wounds were produced. Theoretically, the chance of intraoperative complications such as eyelid hematoma and damage to ocular soft tissues is less. |