Simultaneous surgery for ptosis and strabismus
Reviewed by Fiona Rowe

The authors present the surgical management of congenital ptosis and coexistent strabismus at one centre for a follow-up period of >2 years. This was a retrospective review of 10 patients (17 eyes); nine males. Intermittent exotropia was present in three cases and constant exotropia in four cases. Superior oblique palsy with vertical deviation was present in three cases. Average visual acuity was 0.86±0.14 logMAR. One patient with levator function <4mm had frontalis suspension. Others had levator function of 4mm or more and underwent levator muscle resection. Mean age was 10.4±6.96 years with a mean follow-up of 15.5±3.16 months. Surgical alignment defined as heterotropia of <5PD or exotropia <8PD was obtained in all but one patient. Mean palpebral fissure height was 7.46±0.61mm and upper lid levels were within 1mm postoperatively for bilateral ptosis. The authors conclude single stage surgical correction for congenital ptosis and coexistent strabismus is a viable option for surgical management of such patients.

Combined surgery for simultaneous treatment of congenital ptosis and coexisting strabismus.
Zhou F, Onyang M, Ma D, et al.
JOURNAL OF PEDIATRIC OPHTHALMOLOGY AND STRABISMUS
2017;54:288-94.