Treatment of Congenital Myogenic Ptosis with Frontalis Suspension Surgery
Abstract: Ptosis repair is a
challenging oculoplastic surgical procedure that requires correct diagnosis,
thoughtful planning, thorough understanding of eyelid anatomy, experience, and
good surgical technique. Ptosis can causefunctional problem and cosmetic issue.Thisstudywasreport
2 cases of congenital myogenic ptosis which were treated with frontalis
suspension surgery.Case report,a 11-year old and a 20-year old girl came to our
clinic with chief complain drooping in the upper eyelid RE since their
childhood. Patients also complained difficulty of reading. The degree of ptosis
during the day was the same. No diplopia, dysphonia, dyspnea, and dysphagia. VA
20/20 in the both eyes. Ocular motility were normal. MRD1 0 mm, FP 5 mm, no
upper eyelid crease, LF 4 mm, no lagophthalmos, eyelid lag present, upper
eyelid RE higher than LE in down gaze,and Bells phenomenon normal. Light reflex
of pupil positive and diameter 3 mm in standard room illumination. Schimertest
and TBUT were within normal. We diagnosed these patients with congenital
myogenic ptosis RE and performed frontalis suspension surgery with autogenous
tensor fascia lata.Postoperative, for first patient we got MRD1 2 mm and FP 7 mm.
For second patient we got MRD14 mm and FP 9 mm. Patients had no complain
drooping in the upper eyelid RE and difficulty of reading anymore.Frontalis
suspension surgery is a way to treat patient with congenital myogenic ptosis
who have poor levator function.
Author: Shaelva Lassa
Sabatini, Riani Erna
Journal Code: jpkedokterangg160159
