[
    {
        "id": "osp-12349",
        "type": "article-journal",
        "title": "Maximal levator resection versus Gore-Tex® sling for congenital blepharoptosis with poor levator function",
        "author": [
            {
                "family": "Dawood",
                "given": "Ahmed Said"
            },
            {
                "family": "Hassan",
                "given": "Omar Abdelghany"
            },
            {
                "family": "El Sayed",
                "given": "Mohamed Othman"
            }
        ],
        "URL": "https://omanscience.com/ar/articles/maximal-levator-resection-versus-gore-tex-sling-for-congenital-blepharoptosis-with-poor-levator-function",
        "language": "en",
        "issued": {
            "date-parts": [
                [
                    2021
                ]
            ]
        },
        "container-title": "Oman Journal of Ophthalmology",
        "volume": "14",
        "issue": "3",
        "page": "173-178",
        "DOI": "10.4103/ojo.ojo_127_21",
        "publisher": "Medknow Publications",
        "ISSN": "0974-620X",
        "abstract": "Background: Treating congenital blepharoptosis is often mandatory to clear the visual access and avoid amblyopia; however, when the levator function is poor, achieving a satisfactory long-term outcome is challenging. This study aimed to compare the outcomes of maximal levator resection (MLR) with those of frontalis suspension (FS) using Gore-Tex ®, in the treatment of congenital blepharoptosis with poor levator function.\n\nPatients and methods: The study included 102 eyelids of 66 patients of mean age 4.3 ± 1.6 standard deviation (SD) years, randomly divided into two groups (51 eyes each). Group A: FS using Gore-Tex ®, Group B: MLR. Postoperative outcomes were evaluated at 1, 6 and 12 months. Patients' ophthalmic examination including margin-reflex distance (MRD1) before and after surgery and postoperative complications were recorded.\n\nResults: At the end of the follow-up, the mean MRD1 increased from 0.3 ± 0.7 SD mm in Group A, 0.4 ± 0.8 SD mm in Group B preoperatively, to 2.7 ± 0.5 SD mm and 2.9 ± 0.7 SD mm, respectively (P < 0.001 in both groups). Results of Group B were significantly higher than Group A (P = 0.047). Success was achieved in 77 eyelids (75.4%), distributed as follows: 36 eyelids (70.6%) in Group A, and 41 eyelids (80.1%) in Group B. The total recurrence rate was 6.9% (seven eyes), while other complications were recorded in 23 eyes (22.5%).\n\nConclusion: MLR, compared to FS with Gore-Tex® sling, can be a more efficient surgical option to correct congenital blepharoptosis with poor levator excursion. Prominent postoperative lagophthalmos warrants close ocular surface observation in early follow-up weeks."
    }
]