Clinical presentation and management of congenital ptosis

Marco Marenco,1,* Ilaria Macchi,2,* Iacopo Macchi,3 Emilio Galassi,4 Mina Massaro-Giordano,5 Alessandro Lambiase1 1Department of Sense Organs, University of Rome “Sapienza”, 2Department of Ophthalmology, Campus Bio-Medico University of Rome, Rome, 3Department of Ophthalmology, U...

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Autores principales:	Marenco M, Macchi I, Galassi E, Massaro-Giordano M, Lambiase A
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	congenital ptosis horner syndrom Duane retraction syndrome Marcus Gunn syndrome levator function fasanella servat levator's resection and aponeurosys surgery frontal sling Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/1bc4c71c915a478b816c65ffe066960c
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spelling	oai:doaj.org-article:1bc4c71c915a478b816c65ffe066960c2021-12-02T01:10:12ZClinical presentation and management of congenital ptosis1177-5483https://doaj.org/article/1bc4c71c915a478b816c65ffe066960c2017-02-01T00:00:00Zhttps://www.dovepress.com/clinical-presentation-and-management-of-congenital-ptosis-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Marco Marenco,1,* Ilaria Macchi,2,* Iacopo Macchi,3 Emilio Galassi,4 Mina Massaro-Giordano,5 Alessandro Lambiase1 1Department of Sense Organs, University of Rome “Sapienza”, 2Department of Ophthalmology, Campus Bio-Medico University of Rome, Rome, 3Department of Ophthalmology, University of Catania, Catania, 4Ophthalmic Clinic, Department of Ophthalmology, University of L’Aquila, L’Aquila, Italy; 5Department of Ophthalmology, Scheie Eye Institute, University of Pennsylvania, Philadelphia, PA, USA *These authors contributed equally to this work 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. Keywords: ptosis, extraocular muscle development, neurologic dysfunction, surgical approachMarenco MMacchi IMacchi IGalassi EMassaro-Giordano MLambiase ADove Medical Pressarticlecongenital ptosishorner syndromDuane retraction syndromeMarcus Gunn syndromelevator functionfasanella servatlevator's resection and aponeurosys surgeryfrontal slingOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 11, Pp 453-463 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	congenital ptosis horner syndrom Duane retraction syndrome Marcus Gunn syndrome levator function fasanella servat levator's resection and aponeurosys surgery frontal sling Ophthalmology RE1-994
spellingShingle	congenital ptosis horner syndrom Duane retraction syndrome Marcus Gunn syndrome levator function fasanella servat levator's resection and aponeurosys surgery frontal sling Ophthalmology RE1-994 Marenco M Macchi I Macchi I Galassi E Massaro-Giordano M Lambiase A Clinical presentation and management of congenital ptosis
description	Marco Marenco,1,* Ilaria Macchi,2,* Iacopo Macchi,3 Emilio Galassi,4 Mina Massaro-Giordano,5 Alessandro Lambiase1 1Department of Sense Organs, University of Rome “Sapienza”, 2Department of Ophthalmology, Campus Bio-Medico University of Rome, Rome, 3Department of Ophthalmology, University of Catania, Catania, 4Ophthalmic Clinic, Department of Ophthalmology, University of L’Aquila, L’Aquila, Italy; 5Department of Ophthalmology, Scheie Eye Institute, University of Pennsylvania, Philadelphia, PA, USA *These authors contributed equally to this work 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. Keywords: ptosis, extraocular muscle development, neurologic dysfunction, surgical approach
format	article
author	Marenco M Macchi I Macchi I Galassi E Massaro-Giordano M Lambiase A
author_facet	Marenco M Macchi I Macchi I Galassi E Massaro-Giordano M Lambiase A
author_sort	Marenco M
title	Clinical presentation and management of congenital ptosis
title_short	Clinical presentation and management of congenital ptosis
title_full	Clinical presentation and management of congenital ptosis
title_fullStr	Clinical presentation and management of congenital ptosis
title_full_unstemmed	Clinical presentation and management of congenital ptosis
title_sort	clinical presentation and management of congenital ptosis
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/1bc4c71c915a478b816c65ffe066960c
work_keys_str_mv	AT marencom clinicalpresentationandmanagementofcongenitalptosis AT macchii clinicalpresentationandmanagementofcongenitalptosis AT macchii clinicalpresentationandmanagementofcongenitalptosis AT galassie clinicalpresentationandmanagementofcongenitalptosis AT massarogiordanom clinicalpresentationandmanagementofcongenitalptosis AT lambiasea clinicalpresentationandmanagementofcongenitalptosis
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Clinical presentation and management of congenital ptosis

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