Surgical Outcomes of Pediatric Blepharoptosis.
- 1University of Health Sciences, Beyoglu Eye Training and Research Hospital, Istanbul, Türkiye.
Abstract
Objectives
The results of ptosis surgery and revision surgery performed in blepharoptosis of different etiologies in the paediatric age group were evaluated.Methods
The 78 eyes of 66 patients followed up at our clinic between 2020 and 2024 were retrospectively examined. The patient's age, gender, etiology, preoperative and postoperative Best Corrected Visual Acuity (BCVA), levator function, Margin Reflex Distance-1 (MRD-1), surgical techniques and revisions performed, amount of lagophthalmos, Bell's phenomenon, strabismus and amblyopia status were evaluated.Results
The mean age of the patients was 9.05±4.18 years, and the follow-up period was 21.19±12.90 months. The etiology of ptosis was congenital myogenic in 49 (74.4%) patients, congenital neurogenic in 13 (19.6%) patients, and acquired in 4 (6%) patients. Strabismus was detected in 12 patients (18%), and amblyopia was detected in 35 eyes (44.9%). The most frequently used surgical techniques were frontal suspension with silicone (30.8%), müller muscle conjunctival resection (28.2%), and levator surgery (25.6%). Revision surgery was performed in 29 eyes (37.2%). The preoperative MRD-1 (0.72±1.26 mm) showed a significant increase at 6 months postoperatively (2.20±1.42 mm) (p<0.001). A positive correlation was found between final BCVA and preoperative BCVA (r=0.579, p<0.001). A low to moderate significant correlation was found between postoperative lagophthalmos and punctate staining (r=0.308, p=0.012). Lagophthalmos was more pronounced in the silicone sling group.Conclusions
In pediatric ptosis surgery, a high rate of functional and aesthetic success is achieved through the selection of surgery appropriate to the etiology and careful postoperative follow-up.
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BibTeX
@article{ulas2026surgical,
title = {{Surgical Outcomes of Pediatric Blepharoptosis.}},
author = {Mehmet Göksel Ulaş and İlkay Semizoğlu and Ayse Cetin Efe and Fatma Poslu Karademir},
journal = {Beyoglu eye journal},
year = {2026},
month = oct,
doi = {10.14744/bej.2026.46667},
url = {https://europepmc.org/article/MED/42898757},
note = {CC BY-NC},
}
RIS
TY - JOUR
TI - Surgical Outcomes of Pediatric Blepharoptosis.
AU - Mehmet Göksel Ulaş
AU - İlkay Semizoğlu
AU - Ayse Cetin Efe
AU - Fatma Poslu Karademir
PY - 2026
DA - 2026/10/01
JO - Beyoglu eye journal
DO - 10.14744/bej.2026.46667
UR - https://europepmc.org/article/MED/42898757
AB - Objectives The results of ptosis surgery and revision surgery performed in blepharoptosis of different etiologies in the paediatric age group were evaluated.Methods The 78 eyes of 66 patients followed up at our clinic between 2020 and 2024 were retrospectively examined. The patient's age, gender, etiology, preoperative and postoperative Best Corrected Visual Acuity (BCVA), levator function, Margin Reflex Distance-1 (MRD-1), surgical techniques and revisions performed, amount of lagophthalmos, Bell's phenomenon, strabismus and amblyopia status were evaluated.Results The mean age of the patients was 9.05±4.18 years, and the follow-up period was 21.19±12.90 months. The etiology of ptosis was congenital myogenic in 49 (74.4%) patients, congenital neurogenic in 13 (19.6%) patients, and acquired in 4 (6%) patients. Strabismus was detected in 12 patients (18%), and amblyopia was detected in 35 eyes (44.9%). The most frequently used surgical techniques were frontal suspension with silicone (30.8%), müller muscle conjunctival resection (28.2%), and levator surgery (25.6%). Revision surgery was performed in 29 eyes (37.2%). The preoperative MRD-1 (0.72±1.26 mm) showed a significant increase at 6 months postoperatively (2.20±1.42 mm) (p<0.001). A positive correlation was found between final BCVA and preoperative BCVA (r=0.579, p<0.001). A low to moderate significant correlation was found between postoperative lagophthalmos and punctate staining (r=0.308, p=0.012). Lagophthalmos was more pronounced in the silicone sling group.Conclusions In pediatric ptosis surgery, a high rate of functional and aesthetic success is achieved through the selection of surgery appropriate to the etiology and careful postoperative follow-up.
SN - 2459-1777
SN - 2587-0394
ER -