Journal Basic Info

  • Impact Factor: 1.995**
  • H-Index: 8
  • ISSN: 2474-1647
  • DOI: 10.25107/2474-1647
**Impact Factor calculated based on Google Scholar Citations. Please contact us for any more details.

Major Scope

  •  Otolaryngology - Head and Neck Surgery
  •  Minimally Invasive Surgery
  •  Bariatric Surgery
  •  Robotic Surgery
  •  Breast Surgery
  •  Neurological Surgery
  •  Orthopaedic Surgery
  •  Ophthalmic Surgery

Abstract

Citation: Clin Surg. 2020;5(1):2842.Research Article | Open Access

The Timing for Diagnosis of Anisometropia in Japanese Children with Congenital Eyelid Ptosis

Toshihiko Matsuo1,2*

1Department of Ophthalmology, Okayama University Hospital and Okayama University Medical School, Japan
2Okayama University Graduate School of Interdisciplinary Science and Engineering in Health Systems, Japan

*Correspondance to: Toshihiko Matsuo 

 PDF  Full Text DOI: 10.25107/2474-1647.2842

Abstract

Purpose: The difference in refractive errors between both eyes, namely, anisometropia, is a known complication in congenital blepharoptosis. This study searched the timing of diagnosis of anisometropia in children with congenital blepharoptosis. Methods: Retrospective review was made on medical records of 20 consecutive patients with congenital blepharoptosis at Okayama University Hospital from 2004 to 2018. Results: T he age at the initial visit ranged from 1 month to 5 years 1 month (median, 5.5 months), and the follow-up period from 1 year 8 months to 13 years 5 months (median, 5 years 5 months). Blepharoptosis was on the right side in 6 patients, on the left side in 10, and on both sides in 4. Four patients underwent levator muscle plication at the age ranging from 3 months to 6 years 2 months: One patient on the right side, 2 on the left side, and one on both sides. Nine patients were found to have anisometropia, defined as hyperopic difference of 2 or more diopters between both eyes, or astigmatic difference of 2 or more diopters between both eyes, and astigmatism of 3 or more diopters in both eyes (ametropia), at the age ranging from 1 year 3 months to 3 years 6 months (median, 3 years). Four of the 9 patients with anisometropia showed unilateral amblyopia as the best-corrected visual acuity in decimals ranging from 0.2 to 0.5. The remaining 11 patients without anisometropia had normal levels of visual acuity in both eyes. Anisometropia was found in 3 of 4 patients with surgery and 6 of 16 patients with no surgery (no significant difference at chi-square test). Conclusion: About a half of children with congenital blepharoptosis was found to have anisometropia at the age of 1 to 3 years. Care must be taken on refraction and glasses prescription at these ages.

Keywords

Cite the article

Matsuo T. The Timing for Diagnosis of Anisometropia in Japanese Children with Congenital Eyelid Ptosis. Clin Surg. 2020; 5: 2842..

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