关键词: Ptosis anisometropia astigmatism congenital ptosis

来  源:   DOI:10.1080/2576117X.2024.2384685

Abstract:
UNASSIGNED: To identify a correlation between the degree of congenital ptosis and levels of refractive error, visual stimulus deprivation and anisometropic amblyopia, and any improvement with surgical intervention.
UNASSIGNED: A prospective investigation of 30 patients aged 3 months to 8 years, with a diagnosis of unilateral or bilateral congenital ptosis. A full orthoptic assessment and cycloplegic refraction were performed and patients requiring surgical intervention for ptosis were at surgeon discretion.
UNASSIGNED: The mean age at presentation was 27.1 months. The prevalence of amblyopia ranged from 19 to 29%. There was no significant difference in the levels of astigmatism throughout the follow-up period between patients who underwent surgical intervention and who did not. There was a significant improvement in the visual acuity of the affected eye (p = .03) and both eyes open (p = .02), in patients who did not undergo surgery. This was then repeated on patients who underwent surgical intervention which showed no significant difference in the affected eye or both eyes open; p = .27, p = .32, respectively.
UNASSIGNED: There is no significant change in the levels of astigmatism in both patients who underwent surgery and those who did not. Conservative management of congenital ptosis, while counterintuitive, proves not to deleteriously affect the visual potential of these patients.
摘要:
为了确定先天性上睑下垂程度与屈光不正程度之间的相关性,视觉刺激剥夺和屈光参差性弱视,以及手术干预的任何改善。
对30名年龄在3个月至8岁的患者进行前瞻性调查,诊断为单侧或双侧先天性上睑下垂。进行了全面的矫形评估和睫状肌麻痹屈光检查,需要手术治疗的患者由外科医生决定。
就诊时的平均年龄为27.1个月。弱视的患病率为19%至29%。在整个随访期间,接受手术干预的患者与未接受手术干预的患者之间的散光水平没有显着差异。受影响的眼睛(p=.03)和双眼睁开(p=.02)的视敏度显着改善,未接受手术的患者。然后在接受手术干预的患者中重复此操作,这些患者在受影响的眼睛或双眼睁开时没有显着差异;分别为p=.27,p=.32。
接受手术的患者和未接受手术的患者的散光水平均无明显变化。先天性上睑下垂的保守治疗,虽然违反直觉,证明不会有害地影响这些患者的视觉潜能。
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