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J AAPOS ; 21(6): 485-487, 2017 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-29108856

RESUMO

PURPOSE: To describe the etiology of acquired pediatric blepharoptosis in a large clinical series and to elucidate the causes of the disease. METHODS: The medical records of all patients presenting with acquired blepharoptosis at two specialist ocular plastics practices and a pediatric ophthalmology practice during a period of up to 25 years were reviewed retrospectively and classified according to their diagnosis. Patients were grouped into children (<18 years), younger adults (18-40 years), and older adults (>40 years). RESULTS: A total of 268 patients <18 years of age were identified. The most common identifiable causes of acquired blepharoptosis in children were infantile hemangioma (n = 92 [34.3%]) and trauma (n = 41 [15.3%]). In 42 cases (15.7%) a definite diagnosis could not be made. CONCLUSIONS: The etiology of pediatric acquired blepharoptosis can frequently be determined by history and examination; additional diagnostic tests are sometimes required. A high percentage of pediatric patients have blepharoptosis of unknown cause.


Assuntos
Blefaroptose/etiologia , Traumatismos Oculares/complicações , Neoplasias Oculares/complicações , Hemangioma/complicações , Miosite Orbital/complicações , Adolescente , Adulto , Blefaroptose/diagnóstico , Criança , Pré-Escolar , Traumatismos Oculares/diagnóstico , Neoplasias Oculares/diagnóstico , Feminino , Hemangioma/diagnóstico , Humanos , Masculino , Pessoa de Meia-Idade , Miosite Orbital/diagnóstico , Estudos Retrospectivos , Fatores de Risco , Adulto Jovem
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