4. Surgical treatment of congenital ptosis of the upper eyelids
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Abstract
In childhood, closing the pupil with the upper eyelid leads to the development of amblyopia in 20-70%. The main methods of surgical treatment of blepharoptosis in the absence of the function of the muscle that lifts the upper eyelid are suspension operations.
Material and methods. A 2-year-old child presented with congenital ptosis of the right upper eyelid. Palpebral fissure versus right narrowed by 0.5 cm. Excursion of the left upper eyelid 0.9 cm, right 0.3 cm. After the written consent of the parents, the child underwent an operation to eliminate ptosis of the right upper eyelid by implantation parts of the superficial flexor of the hand.
Results. The variety of suspension operations for blepharoptosis is associated not only with the many options for conducting a suspension suture (single and double diamond-shaped, triangular, U-shaped, etc.), but also with the materials used - biological and synthetic.
Conclusion. According to our research, synthetic materials allow you to get a more stable good result, but we used a tendon.
Keywords
congenital pathology, ptosis of the eyelids, tendon
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