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Blepharoptosis in Ibadan, Nigeria
A M Baiyeroju1, O M Oluwatosin
1Department of Ophthalmology, University College Hospital, Ibadan, Nigeria.
Insights
Blepharoptosis, or drooping eyelids, is a common eye condition, particularly in children. Congenital causes are most frequent, necessitating careful assessment for optimal surgical outcomes.
Area of Science:
- Ophthalmology
- Pediatric Ophthalmology
Background:
- Blepharoptosis, characterized by drooping of the upper eyelid, is a significant ocular condition.
- Understanding its causes and prevalence is crucial for effective management, especially in pediatric populations.
Purpose of the Study:
- To investigate the incidence, causes, and effects of blepharoptosis in a specific geographic region.
- To determine the prevalence of blepharoptosis among school-aged children.
Main Methods:
- A prospective clinic-based study was conducted over five years at University College Hospital, Ibadan, Nigeria.
- A prospective cluster sampling method was employed for a school survey to assess prevalence in children.
- Data collection included patient demographics, etiology, laterality, and clinical presentation.
Main Results:
- Twenty-five cases of blepharoptosis were identified over five years, with 52% of patients under 16 years old.
- Congenital blepharoptosis was the most common cause, accounting for 56% of cases.
- The prevalence in the school survey (1.2%) was higher than the incidence in the eye clinic (0.5%), with a 1:1 male-to-female ratio and 68% unilateral involvement.
Conclusions:
- Blepharoptosis is a notable ocular issue, with a significant proportion affecting younger individuals.
- Thorough evaluation of the cause, degree of ptosis, and levator muscle function is essential.
- Tailoring surgical techniques based on detailed assessment ensures optimal functional and cosmetic results.
Objective:
To look into the cases of blepharoptosis in our environment as well as find out the causes and effects of the ptosis.
Design:
Prospective clinic study and prospective cluster sampling method of school children.
Setting:
University College Hospital, Ibadan and 3 schools in Ibadan, Nigeria.
Subject:
Over a 5 year period, all patients who presented with blepharoptosis at the University College Hospital were recruited for the study. During the same period, a school survey was also done to find out the prevalence of blepharoptosis among school children.
Results:
Twenty five cases of blepharoptosis were found during the 5 year period. Fifty two percent of the patients were found to be less than 16 years of age while only 8% were over 50 years of age. There was a 1:1 male to female ratio with majority of them (68%) having only one eye affected. The most common cause of blepharoptosis was found to be congenital, accounting for 56% of the patients. The prevalence in the school survey was found to be 1.2% higher than the incidence of 0.5% found in the eye clinic.
Conclusion:
Blepharoptosis is not an uncommon ocular problem. A detailed assessment of the cause, amount of ptosis and levator functions helps to determine the most appropriate surgical technique which would give the best functional and cosmetic result.
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