Demography and Comparison of Ptosis Surgery Results and its Complications in Children and Adult Groups

Ptosis is the vertical narrowing of the palpebral aperture secondary to drooping upper eyelid. Due to the various types of ptosis and its complicated nature، selecting the appropriate surgery is extremely important. Therefore، this study aimed to compare the results and complications of ptosis surgery in children and adult groups in Yazd Shahid Sadoughi Hospital. In this retrospective study، profile of 212 patients were examined in two groups of less than 15 years old and more than 15 who had undergone corrective surgery for ptosis between 2000 and 2010 in Shahid Sadoughi hospital. Demographic data، the involved eye (right or left)، familial history (FH)، ptosis type and mechanism، surgical technique as well as the results and complications of surgery were documented via a questionnaire، and the study data was analyzed using SPSS (version 18). In total، 212 patients were studied in two age groups (<15 years: 47. 2% female، 52. 8% male and >15 years: 53. 8% female، 46. 2% male). Positive FH and congenital ptosis were reported significantly more frequent in the first group (<15years). Levator resection (LR) method was done in 67% of cases in both groups and sling fontalis (SF) was performed in 28. 3% and 22. 6% in each group respectively. The normal eyelid position، under correction and over correction were reported 76. 5%، 2. 8% and 20. 7% respectively in first group and 56. 6%، 11. 3% and 32. 1% in the second group. The success rate of SF was higher than LR. As a matter of fact، the difference was statistically significant in both groups، whereas no significant difference was observed in regard with the surgery complication between the two groups. The study findings revealed that the success rate of SF was more than LR in all patients and ptosis corrective surgery results were reported to be better in <15 years group.