Clinical Characteristics and Surgical Treatment of Congenital Ptosis Combined with Congenital Entropion and Trichiasis of Children
Objective This study aims to examine the clinical features and surgical outcomes in pediatric patients with congenital ptosis coexisting with congenital entropion,and to compare them with a group of patients with isolated congenital ptosis.Methods A retrospective analysis was conducted on 418 cases of congenital ptosis,consisting of 186 cases of pure congenital ptosis as the control group and 232 cases with concurrent congenital entropion as the study group.Clinical manifestations and signs were compared,and surgical results were assessed.Results No significant difference was observed in the occurrence of complications(mainly eye blinking,eye rubbing,upward gaze,redness,and photophobia)between the two groups(P>0.05).Both groups displayed mild to moderate corneal damage without a statistically significant difference(P>0.05).Visual acuity/diopter showed a statistically significant difference between the groups(P=0.041).The study group reported higher surgical satisfaction,with a meaningful educational impact between the groups(P<0.05).Conclusion Children presenting with congenital ptosis and congenital entropion typically exhibit mild to moderate symptoms,without any distinctive clinical presentation.The incidence of abnormal visual acuity/diopter is notably higher compared to isolated congenital entropion.Surgical interventions for simultaneous correction of both conditions yield noticeable improvements,accompanied by fewer postoperative complications..
ChildrenCongenital ptosis of upper eyelidCongenital entropion and trichiasisClinical featuresSurgery
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