Levator Resection with3 Point Fixation Versus 2 Point Fixation Tucking for Congenital Ptosis

Heba Hamdy Ibrahim Mohammed40 enrolled

Overview

to evaluate the surgical effect of levator aponeurosis resection Versus two point fixation levator aponeurosis Tucking for Congenital Ptosis

Target population for the study is children under twelve years old presenting to ophthalmology clinic at Cairo university specialized pediatric hospital with congenital ptosis. Patients will be randomly divided into two groups First group (A) will contain 20 patients who will undergo standard levator aponeurosis resection Second group (B) will contain 20 patient who will undergo two point fixation levator tucking

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Congenital Ptosis

Interventions

levator resectionPROCEDURE

The levator aponeurosis was dissected from the upper border of the tarsal plate and conjunctiva. The aponeurosis was measured for the desired amount of resection and fixed to the exposed tarsal border with three point mattress sutures with 6-0 prolene then amount measured resect. The skin incision closed by continuous suture with 6-0 prolene.

levator tuckingPROCEDURE

The levator aponeurosis was dissected from the upper border of the tarsal plate and conjunctiva. . The aponeurosis was measured for desired amount of tucking The skin incision closed by continuous suture with 7-0 prolene.

Eligibility

Sex: ALLMin age: 2 YearsMax age: 12 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: 1. Unilateral or bilateral simple isolated congenital ptosis. 2. Levator function more than 4mm Exclusion Criteria: 1. Congenital ptosis associated with other ocular syndromes. 2. Recurrent ptosis following any attempt for repair. 3. Traumatic ptosis or acquired ptosis 4. -ve bell's phenomenon.

Locations (1)

HEBA

Cairo, Zahraa AL Maadi, Egypt

Outcomes

Primary Outcomes

Comparison of surgical efficacy of standard levator aponeurosis resection and two point fixation tucking regarding MRD1

MRD1:distance between upper lid margin and corneal light reflex measured in mm by transparent ruler

Time frame: 6 to 9 months

Data from ClinicalTrials.gov

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