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Cesar Miguel Portilla-Espinosa, Pablo Jose Guzman-Salas, Jose Luis Tovilla-Canales; Congenital Blepharoptosis: Clinical Characteristics and Surgical Outcomes in Mexican Population. Invest. Ophthalmol. Vis. Sci. 2015;56(7 ):4748.
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Report the number and clinical characteristics of patients with congenital ptosis who underwent surgery and their outcome in a period of time.
Retrospective case series study in one academic tertiary care Oculoplastics and Orbit Department with 243 patients diagnosed with congenital blepharoptosis from January 2007 to January 2014. We reviewed clinical electronic records from patients of "Instituto de Oftalmologia Conde de Valenciana" in Mexico City, regarding the following: age, gender, eye (s) affected, palpebral fissure, ptosis severity graded as no ptosis (100 mm or more), mild (80-99 mm), moderate (40-79 mm) and severe (0-39 mm) on their first consultation, type of surgery (if practiced); palpebral fissure and ptosis severity after surgery.
The total population for this study was 243 patients. Average age of 7.95±10.13 years, with 139 (57.2%) males and 99 (40.7%) females. 90 patients (37%) had only their right eye affected, 124 patients (51%) had only their left eye affected and 29 patients (11.9%) had both eyes affected. Average palpebral fissure 60.2±16.2 mm. We had 159 (65.4%) patients with moderate ptosis, 44 (18.1%) with mild ptosis, 39 (16%) with severe ptosis, and 1 patient without ptosis (0.4%). 134 (55.1%) underwent surgery, of which 55 (41% of this specific surgery group) had frontal suspension, 38 (28.3%) had resection and reinsertion of aponeurosis, 14 (10.4%) had supramaximal reinsertion, 1 (0.7%) had Fassanella-Servat and 1 (0.7%) had Mullerectomy. After surgery the average palpebral fissure was 79.4±15.2 mm. After surgery, 51 patients (46.8%) had mild ptosis, 43 (39.4%) had moderate ptosis, 14 (12.8%) had no ptosis and 1 (0.4%) remained with severe ptosis.
We had a predominant male population in the first decade of life, with the majority having only one eye affected; most had mild to moderate ptosis and half of them were treated with surgery. The most practiced surgery was frontal suspension and the outcomes were mostly satisfactory. This study provides valuable epidemiological information for and is the first of its kind in Mexico.
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