TY - JOUR AU - Iqbal, Sofia AU - Khan, Muhammad Naeem AU - Khan, Zubairullah AU - Islam, Zaffar ul PY - 2011/08/17 Y2 - 2024/03/28 TI - FACTORS PREDICTING THE OUTCOME OF ANTERIOR LEVATOR RESECTION IN CONGENITAL PTOSIS JF - Journal of Postgraduate Medical Institute JA - J Postgrad Med Inst VL - 23 IS - 4 SE - Original Article DO - UR - https://jpmi.org.pk/index.php/jpmi/article/view/271 SP - AB - <em><span style="font-family: TimesNewRomanPSMT,Italic; font-size: x-small;"><em><span style="font-family: TimesNewRomanPSMT,Italic; font-size: x-small;"><p>Objective: To identify any consistent factors which may predict over or under correction of congenital ptosis treated by anterior levator resection</p><p>Material and Methods: The study was conducted at Khyber Institute of Ophthalmic Medical Sciences, Hayatabad Medical Complex, Peshawar from January 1st 2006- December 31st 2006. The study was approved by the ethical committee of KIOMS</p><p>A retrospective case note review of 50 consecutive patients undergoing anterior levator resection for congenital ptosis was performed to identify</p><p>1. The amount of ptosis and degree of levator function present pre-operatively and</p><p>2. The surgical outcome.</p><p>For unilateral ptosis, a successful result was defined as a lid level within 1mm of the fellow lid following a single operation.</p><p>Results: Fifty four eyelids of 50 patients (35 males and 15 females) with congenital ptosis were included in the study. Seventy seven percent (77.27%) of all unilateral patients had a successful outcome at 6 weeks following surgery, falling slightly to (73.52%) by 6 months. The most common complications at 6 months for all cases were under correction (20%) and over correction (7.5%). All patient under corrected at 6</p><p>months had pre-operative levator function in the range of 4-10 mm with a mean of 6.4 mm, whereas all those over corrected at 6 months had a levator function in the range of 9-15 mm with a mean of 12.2 mm. The degree of levator function was a predictor of increased risk of over correction, with a trend towards predicting under correction as well.</p><p>Conclusion: In this series of patients, pre operative levator function was found to be the most significant predictor of surgical outcome for anterior levator resection</p></span></em></span></em> ER -