0 123

Cited 4 times in

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

Authors
 Chang Yeom Kim  ;  Jin Sook Yoon  ;  Jong-Myon Bae  ;  Sang Yeul Lee 
Citation
 American Journal of Ophthalmology, Vol.153(2) : 334-342, 2012 
Journal Title
 American Journal of Ophthalmology 
ISSN
 0002-9394 
Issue Date
2012
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.
Full Text
http://www.sciencedirect.com/science/article/pii/S0002939411006052
DOI
10.1016/j.ajo.2011.07.023
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Ophthalmology (안과학교실) > 1. Journal Papers
Yonsei Authors
김창염(Kim, Chang Yeom)
윤진숙(Yoon, Jin Sook) ORCID logo https://orcid.org/0000-0002-8751-9467
이상열(Lee, Sang Yeul)
Export
RIS (EndNote)
XLS (Excel)
XML
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/89428
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse