Demography, clinical presentation and management of Blepharoptosis at a tertiary eye care centre in western India.

• Garima Amol Agrawal,*  
• Seema Meena

Abstract

Abstract Introduction: Study of blepharoptosis from western India in the recent COVID era are sparse. We undertook this study to document the demography, pathogenetic subtype, clinical presentation and management of blepharoptosis at our western regional Institute of ophthalmology. Methods: The study was a prospective, interventional, cross-sectional study. 85 consecutive patients with blepharoptosis attending the outpatient department of our tertiary eye care centre were enrolled. All patients were subjected to a thorough history taking and examination. The patients were managed as per the pathogenetic mechanism of ptosis. The patients were examined postoperatively at day one, one week, three weeks, six weeks and three months. The outcome, sequelae and complications (if any) were documented. Statistical Analysis: The statistical analysis was done using the arithmetic mean and percentages. Results: The most common type of ptosis observed was congenital 78 (91.76%). The most common type of congenital ptosis was myogenic ptosis due to a dystrophic levator muscle in 43 (50.6%) of cases followed by Marcus gunn jaw winking synkinesis in 25 (29.4%) of cases. Frontalis sling was the most performed surgery. The outcome of the surgical management of blepharoptosis was good in 70 (85.36%) cases. The most common complication aka sequelae were astigmatic changes in 11 (12.94%) of cases. Conclusion: The spectrum of demography, clinical presentation and management of blepharoptosis at our tertiary eye care centre in western India have been documented in the present era.

Keywords

Demography, clinical presentation, management , Blepharoptosis.