Refractive changes following congenital ptosis surgery.

PURPOSE: To evaluate surgically induced refractive changes (SIRC) after congenital ptosis surgery.

Methods

Data from 24 pediatric patients (age less than 18years old) who underwent congenital ptosis correction surgery between 2012 and 2020 and underwent cycloplegic refraction prior to and at least 3months postoperatively was retrieved from medical records at Sheba Medical Center. The Surgically induced refractive change (SIRC), marginal reflex distance-1 (MRD-1) after surgery were compared to before surgery.

RESULTS

Twenty-four patients were included in this study (16 boys and 8 girls) in a median age at the time of surgery of 1.82years. Eighteen patients underwent frontalis sling (FS), 3 levator resection (LR), 2 Müller's muscle-conjunctival resection (MMCR) and 1 LA (l levator advancement). MRD1 improved from 1.04 mm pre-operatively to 2.36 mm post-operatively (p < .001, paired samples t test). A significant surgically induced refractive change was found post-operatively in the operated eye and most patients were found to have more than 0.5D change in all examined parameters (sphere, cylinder, and spherical equivalent).

CONCLUSIONS

Congenital ptosis surgery induces refractive change in most of the patients. Close follow up including frequent examination of cycloplegic refraction is required in order to determine the preferable timing of ptosis surgery and treatment following surgery.