Blepharoptosis: Pattern and its Surgical Management in a Tertiary Eye Hospital of Eastern Nepal

Authors

  • Prerna Arjyal Kafle Biratnagar Eye Hospital, Biratnagar, Nepal https://orcid.org/0000-0001-7357-6578
  • Diwa Hamal Hospital for Children, Eye, ENT and Rehabilitaion Services, Bhaktapur, Nepal
  • Sabin Sahu Jyoti Eye Hospital, Janakpurdham, Nepal
  • Sharmila Chaudhary Biratnagar Eye Hospital, Biratnagar, Nepal

DOI:

https://doi.org/10.3126/nmj.v5i1.44429

Keywords:

Ptosis, Amblyopia, Blepharoptosis, Frontalis sling surgery;, Frontalis sling surgery, Levator advancement

Abstract

Introduction: Blepharoptosis or drooping of the eyelid is a common disease entity presenting in oculoplasty department. Depending on its severity it causes visual disturbances as well as cosmetic problems. Appropriate management and timely surgical intervention results in a good outcome.

Materials and methods:  This is a hospital-based study of a blepharoptosis patient that presented in the Oculoplasty department and underwent ptosis correction by various methods from July 2016- December 2019.

Results: A total of 85 cases with 104 eyes underwent ptosis surgery. The mean age was 24.5 years. Among them, 31.8% were pediatric and 68.2% were adults. Astigmatism was seen in 21.1% followed by myopia in 10.6% and hypermetropia in 4.7%. Amblyopia was seen in 13% of cases. Common surgical procedures performed were frontalis sling suspension 64.7%, followed by levator advancement 33%, and frontalis sling surgery with V-Y plasty 2.3%.

Conclusions: Ptosis is seen to be associated with refractive errors, strabismus, or amblyopia.  Proper clinical evaluation of the patient is essential to know the etiology, type, and severity of ptosis. Timely surgical intervention is necessary to prevent morbidity and enhance its outcome.

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Author Biographies

Prerna Arjyal Kafle, Biratnagar Eye Hospital, Biratnagar, Nepal

Department of Oculoplasty

Diwa Hamal, Hospital for Children, Eye, ENT and Rehabilitaion Services, Bhaktapur, Nepal

Consultanat ophthalmologist and oculoplastic surgeon

 

Sharmila Chaudhary, Biratnagar Eye Hospital, Biratnagar, Nepal

Ophthalmic Assistant

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Published

2022-06-30

How to Cite

Arjyal Kafle, P., Hamal, D., Sahu, S., & Chaudhary, S. (2022). Blepharoptosis: Pattern and its Surgical Management in a Tertiary Eye Hospital of Eastern Nepal. Nepalese Medical Journal, 5(1), 510–513. https://doi.org/10.3126/nmj.v5i1.44429

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Original Articles