Clinical presentation and management of congenital ptosis
Identifieur interne : 000706 ( Main/Exploration ); précédent : 000705; suivant : 000707Clinical presentation and management of congenital ptosis
Auteurs : Marco Marenco ; Ilaria Macchi [Italie] ; Iacopo Macchi ; Emilio Galassi [Italie] ; Mina Massaro-Giordano [États-Unis] ; Alessandro LambiaseSource :
- Clinical Ophthalmology (Auckland, N.Z.) [ 1177-5467 ] ; 2017.
Abstract
Congenital ptosis is a rare condition characterized by lower positioning of the upper eyelid that is present at birth and is a clinical condition that is persistent if not treated. It may be unilateral or bilateral and may be associated with other ocular disorders or systemic conditions, including Marcus Gunn, Horner, and Duane syndromes. It is a benign condition but causes functional, cosmetic, and psychological problems in children. However, not all patients need to undergo surgery, and usually only patients at risk of amblyopia need a prompt surgical correction, while in other cases, surgery can be postponed. The grade of ptosis, the eyelid function, and the amblyopic risk are the parameters that affect the ophthalmologist’s decision on timing of surgery and the surgical technique to be used. In fact, there are several types of surgical techniques to correct a congenital ptosis, although very often more than one is needed to obtain an acceptable result. This paper reviews the causes of congenital ptosis and associated diseases. Particular emphasis is given to surgical management and different procedures available to correct the upper eyelid anomaly and avoid permanent damage to visual function.
Url:
DOI: 10.2147/OPTH.S111118
PubMed: 28280295
PubMed Central: 5338973
Affiliations:
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Bio-Medico University of Rome</wicri:orgArea></affiliation></author><author><name sortKey="Macchi, Iacopo" sort="Macchi, Iacopo" uniqKey="Macchi I" first="Iacopo" last="Macchi">Iacopo Macchi</name><affiliation><nlm:aff id="af3-opth-11-453">Department of Ophthalmology, University of Catania, Catania</nlm:aff><wicri:noCountry code="subfield">Catania</wicri:noCountry></affiliation></author><author><name sortKey="Galassi, Emilio" sort="Galassi, Emilio" uniqKey="Galassi E" first="Emilio" last="Galassi">Emilio Galassi</name><affiliation wicri:level="1"><nlm:aff id="af4-opth-11-453">Ophthalmic Clinic, Department of Ophthalmology, University of L’Aquila, L’Aquila, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Ophthalmic Clinic, Department of Ophthalmology, University of L’Aquila, L’Aquila</wicri:regionArea><wicri:noRegion>L’Aquila</wicri:noRegion></affiliation></author><author><name sortKey="Massaro Giordano, Mina" sort="Massaro Giordano, Mina" uniqKey="Massaro Giordano M" first="Mina" last="Massaro-Giordano">Mina Massaro-Giordano</name><affiliation wicri:level="1"><nlm:aff id="af5-opth-11-453">Department of Ophthalmology, Scheie Eye Institute, University of Pennsylvania, Philadelphia, PA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Ophthalmology, Scheie Eye Institute, University of Pennsylvania, Philadelphia, PA</wicri:regionArea><wicri:noRegion>PA</wicri:noRegion></affiliation></author><author><name sortKey="Lambiase, Alessandro" sort="Lambiase, Alessandro" uniqKey="Lambiase A" first="Alessandro" last="Lambiase">Alessandro Lambiase</name><affiliation><nlm:aff id="af1-opth-11-453">Department of Sense Organs, University of Rome “Sapienza”</nlm:aff><wicri:noCountry code="subfield">University of Rome “Sapienza”</wicri:noCountry></affiliation></author></analytic><series><title level="j">Clinical Ophthalmology (Auckland, N.Z.)</title><idno type="ISSN">1177-5467</idno><idno type="eISSN">1177-5483</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Congenital ptosis is a rare condition characterized by lower positioning of the upper eyelid that is present at birth and is a clinical condition that is persistent if not treated. It may be unilateral or bilateral and may be associated with other ocular disorders or systemic conditions, including Marcus Gunn, Horner, and Duane syndromes. It is a benign condition but causes functional, cosmetic, and psychological problems in children. However, not all patients need to undergo surgery, and usually only patients at risk of amblyopia need a prompt surgical correction, while in other cases, surgery can be postponed. The grade of ptosis, the eyelid function, and the amblyopic risk are the parameters that affect the ophthalmologist’s decision on timing of surgery and the surgical technique to be used. In fact, there are several types of surgical techniques to correct a congenital ptosis, although very often more than one is needed to obtain an acceptable result. This paper reviews the causes of congenital ptosis and associated diseases. 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D">DT Sprunger</name></author><author><name sortKey="Helveston, Em" uniqKey="Helveston E">EM Helveston</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mehta, P" uniqKey="Mehta P">P Mehta</name></author><author><name sortKey="Patel, P" uniqKey="Patel P">P Patel</name></author><author><name sortKey="Olver, Jm" uniqKey="Olver J">JM Olver</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Italie</li><li>États-Unis</li></country><region><li>Latium</li></region><settlement><li>Rome</li></settlement></list><tree><noCountry><name sortKey="Lambiase, Alessandro" sort="Lambiase, Alessandro" uniqKey="Lambiase A" first="Alessandro" last="Lambiase">Alessandro Lambiase</name><name sortKey="Macchi, Iacopo" sort="Macchi, Iacopo" uniqKey="Macchi I" first="Iacopo" last="Macchi">Iacopo Macchi</name><name sortKey="Marenco, Marco" sort="Marenco, Marco" uniqKey="Marenco M" first="Marco" last="Marenco">Marco Marenco</name></noCountry><country name="Italie"><region name="Latium"><name sortKey="Macchi, Ilaria" sort="Macchi, Ilaria" uniqKey="Macchi I" first="Ilaria" last="Macchi">Ilaria Macchi</name></region><name sortKey="Galassi, Emilio" sort="Galassi, Emilio" uniqKey="Galassi E" first="Emilio" last="Galassi">Emilio Galassi</name></country><country name="États-Unis"><noRegion><name sortKey="Massaro Giordano, Mina" sort="Massaro Giordano, Mina" uniqKey="Massaro Giordano M" first="Mina" last="Massaro-Giordano">Mina Massaro-Giordano</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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