Changes of the amount of astigmatism before and after congenital ptosis in different age groups
Journal Title: Guoji Yanke Zazhi - Year 2018, Vol 18, Issue 10
Abstract
AIM: To compare the changes of corneal shape and astigmatism before and after surgery in children with congenital ptosis in different degrees and different ages, and to provide a certain clinical basis for the timing of ptosis surgery and the time of refractive correction. <p>METHODS: The study consisted of 83 patients(114 eyes, 52 cases in one eye and 31 cases in both eyes)who were diagnosed with congenital ptosis and received frontalis muscle aponeurosis in our hospital from September 2015 to August 2016. The corneal topography and retinoscopy results were collected before and 1, 3, and 6mo after surgery. Corneal topography and 10g/L atropine ophthalmic gel retinoscopy were performed on all subjects, and the changes in the amount of astigmatism before and after surgery were compared between different degrees, different age groups, and different follow-up periods. <p>RESULTS: The corneal astigmatism measured by corneal topography after moderate to severe ptosis was not statistically different from that before the operation(<i>P</i>>0.05). In the 3 to less than 5 year old age group, cases with moderate to severe ptosis was observed after 6mo of Cyl, C value decrease compared with preoperative. In 5 to less than 12 year old age group, Cyl increased at first then decreased gradually 1mo after surgery compared with preoperative in patients with moderate ptosis, and decreased lower after surgery in 6mo, but C value increased compared with preoperative. In patients with severe ptosis, Cyl values showed a gradual decline after a significant increase in 1mo postoperatively, no significant changes compared with before surgery at 6mo, but the C value increased compared with preoperative. <p>CONCLUSION: Patients with congenital ptosis with 3 to less than 5 years of age undergo surgical treatment. The postoperative astigmatism has a large decrease, which is a suitable age for operation. The early astigmatism changes greatly after ptosis and it is recommended to increase the follow-up frequency and perform refractive correction in time.
Authors and Affiliations
Li -Juan Tao
Keywords
Related Articles
- EP ID EP547667
- DOI 10.3980/j.issn.1672-5123.2018.10.43
- Views 101
- Downloads 0
Effect of orthokeratology on binocular visual function in myopic
Orthokeratology can change the shape of the cornea and control the growth of the eye axis through the special design of its inverse geometry, which has achieved significant clinical effect on adolescent myopia correction...
Relation of diabetes mellitus with intraoperative floppy-iris syndrome during phacoemulsification
AIM: To explore relation of diabetes mellitus with intraoperative floppy-iris syndrome(IFIS)during phacoemulsification. <p>METHODS: Thirty patients with IFIS who underwent phacoemulsification were enrolled as IFIS group....
Ocular complications of HIV infection
In recent years,with the widespread application of highly effective antiretroviral therapy(HAART), the incidence of human immunodeficiency virus(HIV)and acquired immunodeficiency syndrome(AIDS)related eye complications w...
Incidence of amblyopia in preschool children and correlation factors in Bao'an District of Shenzhen
AIM: To investigate the incidence of amblyopia in preschool children and correlation factors in Bao'an District of Shenzhen so that to provide possible basis for the prevention of regional amblyopia. <p>METHODS: Totally...
Effect of PRP with calcium dobesilate on the microcirculation and thickness of RNFL in patients with DR
AIM: To study the effect of panretinal photocoagulation(PRP)combined with calcium dobesilate on fundus microcirculation and the thickness of the retinal nerve fiber layer(RNFL)in patients with diabetic retinopathy(DR). <...