Changes of the amount of astigmatism before and after congenital ptosis in different age groups
Journal Title: Guoji Yanke Zazhi - Year 2018, Vol 18, Issue 10
Abstract
AIM: To compare the changes of corneal shape and astigmatism before and after surgery in children with congenital ptosis in different degrees and different ages, and to provide a certain clinical basis for the timing of ptosis surgery and the time of refractive correction. <p>METHODS: The study consisted of 83 patients(114 eyes, 52 cases in one eye and 31 cases in both eyes)who were diagnosed with congenital ptosis and received frontalis muscle aponeurosis in our hospital from September 2015 to August 2016. The corneal topography and retinoscopy results were collected before and 1, 3, and 6mo after surgery. Corneal topography and 10g/L atropine ophthalmic gel retinoscopy were performed on all subjects, and the changes in the amount of astigmatism before and after surgery were compared between different degrees, different age groups, and different follow-up periods. <p>RESULTS: The corneal astigmatism measured by corneal topography after moderate to severe ptosis was not statistically different from that before the operation(<i>P</i>>0.05). In the 3 to less than 5 year old age group, cases with moderate to severe ptosis was observed after 6mo of Cyl, C value decrease compared with preoperative. In 5 to less than 12 year old age group, Cyl increased at first then decreased gradually 1mo after surgery compared with preoperative in patients with moderate ptosis, and decreased lower after surgery in 6mo, but C value increased compared with preoperative. In patients with severe ptosis, Cyl values showed a gradual decline after a significant increase in 1mo postoperatively, no significant changes compared with before surgery at 6mo, but the C value increased compared with preoperative. <p>CONCLUSION: Patients with congenital ptosis with 3 to less than 5 years of age undergo surgical treatment. The postoperative astigmatism has a large decrease, which is a suitable age for operation. The early astigmatism changes greatly after ptosis and it is recommended to increase the follow-up frequency and perform refractive correction in time.
Authors and Affiliations
Li -Juan Tao
Keywords
Related Articles
- EP ID EP547667
- DOI 10.3980/j.issn.1672-5123.2018.10.43
- Views 116
- Downloads 0
Progress in surgical treatment of macular hole retinal detachment in high myopic
Macular hole retinal detachment(MHRD)mainly occurs in high myopic eyes with posterior scleral staphyloma and always causes severe visual impairment. The pathogenesis of MHRD in high myopic eyes is still unclear. It is ge...
Clinical observation of mitomycin and 5-fluorouracil with adjustable sutural trabeculectomy for glaucoma
AIM: To take a contrastive analysis of glaucoma patients' clinical prognosis and complications after the usage of mitomycin(MMC)or 5-fluorouracil(5-FU)combined with adjustable sutural trabeculectomy. <p>METHODS: Retrospe...
Comparison and analysis of mydriasis optometry and prescription for refractive error in juveniles
AIM:To compare the results of computer optometry and manifest refraction after mydriasis and prescription for refractive error in juveniles and explore the emphasis and notes of juvenile optometry. <p>METHODS: Totally 33...
Effects of photodynamic therapy with Ranibizumab on visual acuity and postoperative complications in patients with PCV complicated with vitreous hemorrhage
AIM:To explore the photodynamic therapy(PDT)combined with intravitreal injection of Ranibizumab(IVR)on visual acuity, central macular thickness(CMT)and postoperative complications in the treatment of polypoidal choroidal...
Astigmatism on optical quality in young patients with low to moderate myopia
AIM: To evaluate the effect of astigmatism on optical quality in young myopic patients by a double-pass system. <p>METHODS: Retrospective series of case studies, 258 young myopia patients(479 eyes)were selected and divid...