Clinical trial comparing autogenous fascia lata sling and Gore-Tex suspension in bilateral congenital ptosis

To study the effect of autogenous fascia lata sling (AFLS) versus Gore-Tex suspension (GTS) regarding the functional and aesthetic outcomes in patients with bilateral congenital ptosis. A prospective comparative randomized single-center study enrolled 110 patients with bilateral congenital ptosis. O...

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Bibliographic Details
Published in:Clinical ophthalmology (Auckland, N.Z.) N.Z.), 2016-01, Vol.10 (Issue 1), p.405-409
Main Authors: Elsamkary, Mahmoud Ahmed, Roshdy, Maged Maher Salib
Format: Article
Language:English
Subjects:
Age
autogenous fascia lata
Blepharoptosis
Clinical trials
Congenital diseases
congenital ptosis
Eye diseases
Eyes & eyesight
frontalis suspension
Genetic disorders
Gor-Tex
Medical research
Motility
Ophthalmology
Original Research
Paralysis
Polyesters
Surgery
Symmetry
Synthetic products
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Summary:To study the effect of autogenous fascia lata sling (AFLS) versus Gore-Tex suspension (GTS) regarding the functional and aesthetic outcomes in patients with bilateral congenital ptosis. A prospective comparative randomized single-center study enrolled 110 patients with bilateral congenital ptosis. One group (n=55) underwent AFLS and the second group (n=55) underwent GTS. Exclusion criteria were good levator function, absent Bell's phenomenon, and abnormal ocular motility. Follow-up period was 2 years. Functional outcome was measured from digital photos by analysis of upper eyelid margin position relative to the superior limbus and classified as very good (5 mm), and recurrent. Aesthetic outcome was assessed in terms of lid contour, symmetry of eyelid height, and lid crease presence. Complications were also reported. Failure rate (recurrence and complications) was less in AFLS (P=0.035). Symmetrical lid height and good contour were more frequently attained by AFLS (P=0.007 and 0.047, respectively). However, the frequency of very good, good, poor, recurrence, lagopthalmos, ectropion, infection, and formed lid crease individually showed no statistically significant difference (P=0.252, 0.482, 1, 0.489, 0.438, 1, 0.618, and 0.506, respectively). AFLS is a better choice in surgery for patients with bilateral congenital ptosis because it has fewer complications and a lesser recurrence rate than GTS.
ISSN:1177-5467
1177-5483
1177-5483
DOI:10.2147/OPTH.S95383