title: [Treatment of ptosis in children and adults].
abstract: Pathological ptosis of the eyelids can be manifest already at birth but may develop also in advanced age. In children the congenital form predominates with or without affection of the elevators of the eyes (Congenital fibrous syndrome or Misdirection syndrome). A special form is blepharophimosis, juvenile blepharochalasis and Marcus-Gunn's syndrome. In adult age the etiology of acquired ptosis of the upper eyelid is more varied. There are mechanical causes incl. dermatochalasis or it develops on a myogenic and neurogenic background or as the aponeurotic form. The group comprises 46 patients 3-70 years old where in the course of the last three years at the Ophthalmological Clinic of the Faculty Hospital Prague Vinohrady a total of 54 operations of ptoses were made. Resection of the tarsal plate according to Fasanella-Servat was used in 29 instances. In four eyes a plastic operation of the aponeurosis of the levator was performed. Frontotarsal suspension in the authors modification of Fox method using deep freeze-dried allogenei fasciae was used in the paretic form of ptosis in 21 eyes. The authors give also an account of the technological preparation of a fascial graft kept at a temperature of -80 degrees C.
authors.affiliation: Ocní klinika FN Královské Vinohrady a 3, Praha.
authors.forename: J
authors.initials: J
authors.lastname: Krásný
authors.forename: P
authors.initials: P
authors.lastname: Mĕricka
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001763:Blepharoptosis / Q000151:congenital / Q000209:etiology / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged