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

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International Journal of Ophthalmology(English edition) 2022年第8期15卷 1254-1260页

作者： Abolfazl Kasaee Mostafa Aliabadi Laily Najafi Mansooreh Jamshidian-Tehrani Farabi Eye Hospital Tehran University of Medical Sciences(TUMS)Tehran ***Iran Endocrine Research Center Institute of Endocrinology and MetabolismIran University of Medical Sciences(IUMS)Tehran ***Iran Ophthalmic Plastic Surgery Farabi Eye HospitalTehran University of Medical Sciences(TUMS)Tehran ***Iran

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 *** patients with severe unilateral congenital ptosis with poor LF were *** frontalis sling and TCMLR were performed and the functional,cosmetic outcomes,complications,and success rate were evaluated at 1,3,and 6mo *** t-test,Chi-square,Fishers exact,and nonparametric MannWhitney tests were used by SPSS ***:frontalis sling and TCMLR procedures were performed on 26 and 24 patients *** mean age was 10.97±*** 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)***:Complete success rate of TCMLR is higher in long-term follow-up in contrast with the frontalis sling in the *** complications are more detected in mid-term follow-ups in both groups.

关键词： tarsoconjunctival mullerectomy levator resection frontalis sling congenital ptosis

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