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Epidemiological profile of congenital ptosis pacients in the hospital regional de São José

PURPOSE: To draw an epidemiological profile of congenital ptosis patients in the Hospital Regional de São José (HRSJ), describing the general characteristics of congenital ptosis, including the coexistence of strabismus and the prevalence of amblyopia. METHODS: An epidemiological study with a cross-sectional characteristic was conducted, based on analysis of medical records of congenital ptosis cases treated on the Department of Ocular Plastic and Orbit of the HRSJ, from July 1998 to July 2008. RESULTS: A total of 42 patients (56 eyes) were analyzed. The mean age was 7,2 years and the most prevalent genre was male (66,7%). Unilateral ptosis was found in 66,7% of cases, association with strabismus in 19% and Marcus Gunn phenomenon in 9,5%. Amblyopia was found in 17% of the affected eyes. About the classification, 38,5% of eyes had severe ptosis and 63% had poor or absent levator excursion. The management for 57,2% of cases was surgery and the most prevalent technique was Frontal elevation (75%). CONCLUSION: In this study, the prevalence of amblyopia in congenital ptosis patients was higher than in the general population, showing the importance of an early ophthalmologic evaluation of these patients.

Eyelid diseases; Blepharoptosis; Prevalence; Amblyopia


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