Abstract

GOMEZ CABRERA, Clara Gisela; RAMIREZ GARCIA, Lázara Kenia  and  ROJAS RONDON, Irene. Crawford´s technique in the treatment of congenital palpebral ptosis. Rev Cubana Oftalmol [online]. 2014, vol.27, n.1, pp. 129-138. ISSN 0864-2176.

Objective: to evaluate the surgical outcomes of the Crawford technique through the use of silastic and polypropylene 4.0 materials and the identified complications. Methods: a prospective and descriptive study of 12 patients (16 eyelids) with congenital ptosis conducted from January 2009 to December 2010 in the oculoplasty surgery in "Ramón Pando Ferrer" Cuban Institute of Ophthalmology. Those patients with prior surgery to treat this disease were excluded. Results: in the study group, 83,3 % were males and 91,6 % were younger than 9 years old, 4 cases aged 0-2 and 6 8 years, respectively, 3 cases aged 3 to 5 and only one case older than 9 years. Seventy five percent of treated cases had simple congenital ptosis and 56 % suffered the severe form. Ptosis was corrected in 13 eyelids for 81 %. Using polypropylene sutures 4.0, two eyelids were undercorrected (12,6 % ) and 6 corrected (37,5 %) whereas the use of silastic resulted in one undercorrected eyelid (6,3 %) and 7 corrected ( 43,7 %). There was a 25 % complication rate, three undercorrected eyelids and one superciliary granuloma. Conclusions: ptosis was more frequent in male children younger than 8 years. Simple congenital ptosis predominated, either unilateral or severe. Crawford technique was effective in most cases and with similar results using both materials.

Keywords : congenital eyelid ptosis; frontalis suspension; blepharoptosis.

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