Simultaneous Versus Sequential Ptosis and Strabismus Surgery in Children.

Area of Science:

• Ophthalmology
• Pediatric Surgery

Background:

• Children with ptosis and strabismus often require multiple surgical interventions.
• Sequential surgeries necessitate separate anesthetic events, increasing exposure and potential risks.

Purpose of the Study:

• To compare clinical outcomes of simultaneous versus sequential ptosis and strabismus surgery in pediatric patients.
• To evaluate the safety and efficacy of combining these procedures.

Main Methods:

• Retrospective cohort study of 56 children undergoing ptosis and strabismus surgery on the same eye.
• Simultaneous surgery: single anesthetic event. Sequential surgery: at least 7 weeks apart.
• Outcomes assessed: surgical success rates, complications, and reoperations.

Main Results:

• No significant differences in success rates, complications, or reoperations between simultaneous and sequential surgery groups (p > 0.28).
• Congenital ptosis and comitant strabismus were common indications.
• Common ptosis procedures included frontalis sling and Fasanella-Servat.

Conclusions:

• Simultaneous ptosis and strabismus surgery is clinically effective and safe in children.
• Combining procedures does not increase postoperative complications or reoperation rates.
• Simultaneous surgery reduces overall anesthesia exposure for pediatric patients.