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Congenital Ptosis - Fascia Lata for a Newborn?
i have a one month grandson with ptosis congenital, what do you think about the fascia in infants?
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4 Doctor Answers |
Asked by
Bevelyn79
in FLorida
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Congenital Ptosis Repair
Regarding fascia lata for a newborn for congenital ptosis: Fascia lata is an excellent material for slings for congenital ptosis. However it is my preference (and most surgeons) to do a sling made of synthetic material (such as supramid) in young babies and toddlers. When the child is around 4 or 5 years old, I will recommend fascia lata for the sling. Repair at this age is necessary if the child's vision is being blocked and there is the risk of amblyopia or...
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The key issue here is whether the eyelid is blocking vision.
Fascia lata is an excellent product for frontalis suspension. However for a new born, an easily adjustable silicone sling is often preferred. Experience is essential. I would recommend that your grandson be assessed at a University based medical center by a pediatric ophthalmologist if this had not already happened. If necessary, this individual can also involve the oculoplastic surgeon. Be aware that many pediatric ophthalmologists perform this type of ptosis...
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Fascia Lata is great, but...
Dear Bevelyn79,
Fascia lata is a great option for a frontalis sling procedure for children, however, you need to make sure your surgeon is experienced in harvesting the tissue, especially in infants.
The most important issue, as Dr. Mohadjer indicated, is timing. Unless your child's visual axis is being compromised [which would adversely affect visual development, a condition termed "amblyopia"], it is best for to wait until at least age 3-4 to consider surgery. This...
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Congenital Ptosis
Dear Bevelyn,
There are a lot of nuances with congenital ptosis. Timing is very important. Is the ptosis severe enough that it is blocking the child's vision? If so, early surgery is preferred to allow the vision to develop. If this child is clearing his visual axis, and the ptosis is mild, it may be easier to wait until the child is older so that the height of the eyelid can be better adjusted...
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