Effect Of Ptosis Surgery On The Astigmatic Refractive Error In Pediatric Patients In Ahmedabad, India – A Prospective Study.

ABSTRACT

Abstracts Background & Objective: To determine the effect of ptosis surgery on the astigmatic refractive error in pediatric patients. Methodology During the period of June 2005 to October 2007, a prospective study of 30 patients was carried out among patients attending department of ophthalmology, vadilal sarabhai hospital Ahmedabad. All eyes were refracted with 2% homatropine under full cycloplegia and were screened on keratometer for objective measurement of corneal curvature. All findings were recorded as per performa and analyzed at completion of the trial. Descriptive statistics were calculated. Level of significance was set at p≤0.05. Results: Developmental ptosis was seen in one eye in 26 patients. Only 4 patients (13.4%) had bilateral involvement. Fifteen patients had severe degree of ptosis (50%). When unilateral it was seen more often affecting left eye. A high incidence of amblyopia was associated with astigmatism in congenital ptosis. Conclusion: Patients with congenital ptosis should have cycloplegic refraction as soon as possible, and long-term postoperative refraction checkup is also recommended.