Background: Postoperative complications, lagophthalmos and exposure keratopathy sometimes occur after surgery for congenital blepharoptosis. Bandage contact lenses (BCL) can help prevent some ocular surface disorders. The study aims to evaluate the efficacy and safety of BCL for protection of the ocular surface in children aged 5 to 11 years after frontalis muscle flap suspension for congenital blepharoptosis.
Methods: We conducted a prospective randomized clinical study of 30 eyes of 30 patients with congenital blepharoptosis consecutively enrolled at the Ophthalmology Ward of the Children's Hospital of Chongqing Medical University, China from September 1, 2016, to February 30, 2017. After frontalis muscle flap suspension surgery, patients were randomly assigned to undergo BCL application (BCL group, 15 eyes) or no BCL application (control group, 15 eyes). All patients were treated with bramycin 0.3% and polyvinyl alcohol drops after surgery. The primary outcomes were dry eye assessed by tear film break time (TFBUT), fluoresce in corneal staining (FCS) on slit-lamp on days 1, 3, and 15 postoperatively, and lower tear meniscus height (LTMH) on optical coherence tomography on days 1 and 15 postoperatively. Secondary outcomes were pairwise correlation of TFBUT, FCS and LTMH.
Results: In the BCL group, abnormal TFBUT and FCS were only found in 2 patients (13.33%) on postoperative day 15. In the control group, the incidence of dry eye assessed by TFBUT was 67.00% (10/15 eyes) on day 1, 73.33% (11/15 eyes) on day 3, and 53.33% (8/15 eyes) on day 15 (P < .001). LTMH were significantly higher in the BCL group than the control group postoperatively (P < .001). Significant positive correlations were found between LTMH and TFBUT pre-operation and on days 1 and 15 post-operation. For LTMH and FCSS (R = -0.815, P < .001), and TFBUT and FCS (R = -0.837, P < .001), the Pearson coefficient was negative on postoperative day 1, but not correlated on day 15.
Conclusions: Silicone hydrogel BCL were safe and efficacious for protective use in children after frontalis muscle flap suspension for congenital blepharoptosis.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6392512 | PMC |
| http://dx.doi.org/10.1097/MD.0000000000008003 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Exploratory Analysis of Upper Facial Muscle Interplay During Emotional Expressions: Magnetic Resonance Imaging (MRI) Insights from Young, Caucasian, Toxin-naïve Individuals.
Aesthet Surg J
December 2024
Department of Oromaxillofacial Surgery, Ludwig-Maximilians-University Munich, Munich, Germany.
Background: Understanding the interplay of muscle activity in the upper face is crucial as it can significantly impact the effectiveness and safety of aesthetic treatments. Traditional injection algorithms typically focus on the general 2D and 3D anatomy of muscles, often neglecting the areas where muscles exert the greatest force during facial expressions.
Objectives: To analyze the location of greatest morphological change in upper facial muscles procerus muscle (PM), corrugator supercilia muscle (CSM), orbicularis oculi muscle (OOM) and frontalis muscle (FM) during various facial expressions.
Frontalis sling surgery - pediatric versus adult population: characteristics and outcomes.
BMC Ophthalmol
December 2024
The Goldschleger Eye Institute, Sheba Medical Center, Tel Hashomer, 526601, Israel.
Article Synopsis
- This study compares the outcomes and characteristics of frontal sling surgery for correcting ptosis in pediatric versus adult patients.
- The research included 62 patients, revealing that simple congenital ptosis was most common in children, while adults often had myogenic ptosis related to systemic conditions.
- The results indicated significant differences in pre-operative measurements and complications, with adults showing higher rates of issues like sling extrusion and a correlation between previous surgeries and postoperative complications.
Botulinum Toxin: A Non-surgical Approach for Non-myasthenic Mild-to-Moderate Blepharoptosis Treatment.
Aesthetic Plast Surg
December 2024
Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo 200, 00128, Roma, Italy.
Article Synopsis
- Mild-to-moderate blepharoptosis can negatively impact appearance, with some patients hesitant to pursue surgery; Botulinum neurotoxin A (BoNT-A) injections offer a non-surgical alternative.
- A study included 49 patients (39 females, 10 males) with various causes of eyelid ptosis, using BoNT-A injections and measuring outcomes through MRD-1 changes and patient questionnaires at multiple intervals.
- Results showed significant eyelid elevation post-treatment, with most patients experiencing improvement and a high willingness to repeat the procedure, although the effects diminished after 24 weeks.
Relationship between fatigue and quantitative electromyography findings in patients with myasthenia gravis.
Heliyon
October 2024
Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Department of Neurology, Istanbul, Turkey.
Article Synopsis
- - The study examined muscle changes in myasthenia gravis (MG) patients experiencing fatigue, using quantitative electromyography (QEMG) and assessing their fatigue and disease severity through various measures.
- - Results indicated that MG patients with fatigue had distinct muscle electromagnetic patterns, including shorter and smaller muscle unit potentials, and these patterns were linked to higher fatigue levels and reduced muscle strength.
- - The findings suggest that muscle morphology in MG patients correlates with fatigue severity, paving the way for potential new insights into understanding and treating fatigue in these patients.
Deciphering the Refined Musculature of the Brow Area in Asians by Micro-Computed Tomography.
Aesthet Surg J
October 2024
Department of Plastic and Aesthetic Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Background: The brow area is an important aesthetic unit. Accurate anatomical understanding of the brow is important for clinical treatments related to this region. Due to the complexity of the brow area and limitations of methods, there are still some controversies regarding its musculature description.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!