$Clinical trial comparing autogenous fascia lata sling and Gore-Tex suspension in bilateral congenital ptosis$
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Clinical trial comparing autogenous fascia lata sling and Gore-Tex suspension in bilateral congenital ptosis

Mahmoud Ahmed Elsamkary,1 Maged Maher Salib Roshdy1,2 1Ophthalmology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt; 2Pediatric Ophthalmology Department, Al Watany Eye Hospital, Cairo, Egypt Purpose: To study the effect of autogenous fascia lata sling (AFLS) versus Gore-Tex su...

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Autores principales:	Elsamkary MA, Roshdy MM
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	congenital ptosis autogenous fascia lata Gor-Tex frontalis suspension Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/6c3b1b0755ae402abf5ab4e4ad3a9836
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spelling	oai:doaj.org-article:6c3b1b0755ae402abf5ab4e4ad3a98362021-12-02T02:41:58ZClinical trial comparing autogenous fascia lata sling and Gore-Tex suspension in bilateral congenital ptosis1177-5483https://doaj.org/article/6c3b1b0755ae402abf5ab4e4ad3a98362016-03-01T00:00:00Zhttps://www.dovepress.com/clinical-trial-comparing-autogenous-fascia-lata-sling-and-gore-tex-sus-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Mahmoud Ahmed Elsamkary,1 Maged Maher Salib Roshdy1,2 1Ophthalmology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt; 2Pediatric Ophthalmology Department, Al Watany Eye Hospital, Cairo, Egypt Purpose: To study the effect of autogenous fascia lata sling (AFLS) versus Gore-Tex suspension (GTS) regarding the functional and aesthetic outcomes in patients with bilateral congenital ptosis. Patients and methods: A prospective comparative randomized single-center study enrolled 110 patients with bilateral congenital ptosis. One group (n=55) underwent AFLS and the second group (n=55) underwent GTS. Exclusion criteria were good levator function, absent Bell’s phenomenon, and abnormal ocular motility. Follow-up period was 2 years. Functional outcome was measured from digital photos by analysis of upper eyelid margin position relative to the superior limbus and classified as very good (<3 mm), good (3–5 mm), poor (>5 mm), and recurrent. Aesthetic outcome was assessed in terms of lid contour, symmetry of eyelid height, and lid crease presence. Complications were also reported. Results: Failure rate (recurrence and complications) was less in AFLS (P=0.035). Symmetrical lid height and good contour were more frequently attained by AFLS (P=0.007 and 0.047, respectively). However, the frequency of very good, good, poor, recurrence, lagopthalmos, ectropion, infection, and formed lid crease individually showed no statistically significant difference (P=0.252, 0.482, 1, 0.489, 0.438, 1, 0.618, and 0.506, respectively). Conclusion: AFLS is a better choice in surgery for patients with bilateral congenital ptosis because it has fewer complications and a lesser recurrence rate than GTS. Keywords: ptosis surgery, surgical outcomes, ptosis recurrence, lagophthalmosElsamkary MARoshdy MMDove Medical Pressarticlecongenital ptosisautogenous fascia lataGor-Texfrontalis suspensionOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2016, Iss Issue 1, Pp 405-409 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	congenital ptosis autogenous fascia lata Gor-Tex frontalis suspension Ophthalmology RE1-994
spellingShingle	congenital ptosis autogenous fascia lata Gor-Tex frontalis suspension Ophthalmology RE1-994 Elsamkary MA Roshdy MM Clinical trial comparing autogenous fascia lata sling and Gore-Tex suspension in bilateral congenital ptosis
description	Mahmoud Ahmed Elsamkary,1 Maged Maher Salib Roshdy1,2 1Ophthalmology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt; 2Pediatric Ophthalmology Department, Al Watany Eye Hospital, Cairo, Egypt Purpose: To study the effect of autogenous fascia lata sling (AFLS) versus Gore-Tex suspension (GTS) regarding the functional and aesthetic outcomes in patients with bilateral congenital ptosis. Patients and methods: A prospective comparative randomized single-center study enrolled 110 patients with bilateral congenital ptosis. One group (n=55) underwent AFLS and the second group (n=55) underwent GTS. Exclusion criteria were good levator function, absent Bell’s phenomenon, and abnormal ocular motility. Follow-up period was 2 years. Functional outcome was measured from digital photos by analysis of upper eyelid margin position relative to the superior limbus and classified as very good (<3 mm), good (3–5 mm), poor (>5 mm), and recurrent. Aesthetic outcome was assessed in terms of lid contour, symmetry of eyelid height, and lid crease presence. Complications were also reported. Results: Failure rate (recurrence and complications) was less in AFLS (P=0.035). Symmetrical lid height and good contour were more frequently attained by AFLS (P=0.007 and 0.047, respectively). However, the frequency of very good, good, poor, recurrence, lagopthalmos, ectropion, infection, and formed lid crease individually showed no statistically significant difference (P=0.252, 0.482, 1, 0.489, 0.438, 1, 0.618, and 0.506, respectively). Conclusion: AFLS is a better choice in surgery for patients with bilateral congenital ptosis because it has fewer complications and a lesser recurrence rate than GTS. Keywords: ptosis surgery, surgical outcomes, ptosis recurrence, lagophthalmos
format	article
author	Elsamkary MA Roshdy MM
author_facet	Elsamkary MA Roshdy MM
author_sort	Elsamkary MA
title	Clinical trial comparing autogenous fascia lata sling and Gore-Tex suspension in bilateral congenital ptosis
title_short	Clinical trial comparing autogenous fascia lata sling and Gore-Tex suspension in bilateral congenital ptosis
title_full	Clinical trial comparing autogenous fascia lata sling and Gore-Tex suspension in bilateral congenital ptosis
title_fullStr	Clinical trial comparing autogenous fascia lata sling and Gore-Tex suspension in bilateral congenital ptosis
title_full_unstemmed	Clinical trial comparing autogenous fascia lata sling and Gore-Tex suspension in bilateral congenital ptosis
title_sort	clinical trial comparing autogenous fascia lata sling and gore-tex suspension in bilateral congenital ptosis
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/6c3b1b0755ae402abf5ab4e4ad3a9836
work_keys_str_mv	AT elsamkaryma clinicaltrialcomparingautogenousfascialataslingandgoretexsuspensioninbilateralcongenitalptosis AT roshdymm clinicaltrialcomparingautogenousfascialataslingandgoretexsuspensioninbilateralcongenitalptosis
_version_	1718402224481107968

Clinical trial comparing autogenous fascia lata sling and Gore-Tex suspension in bilateral congenital ptosis

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