{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:21:37Z","timestamp":1787775697468,"version":"build-2784847793"},"reference-count":26,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND:<\/jats:title>\n                    <jats:p>\n                      Treating congenital blepharoptosis is often mandatory to clear the visual access and avoid amblyopia; however, when the levator function is poor, achieving a satisfactory long-term outcome is challenging. This study aimed to compare the outcomes of maximal levator resection (MLR) with those of frontalis suspension (FS) using Gore-Tex\n                      <jats:sup>\u00ae<\/jats:sup>\n                      , in the treatment of congenital blepharoptosis with poor levator function.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>PATIENTS AND METHODS:<\/jats:title>\n                    <jats:p>\n                      The study included 102 eyelids of 66 patients of mean age 4.3 \u00b1 1.6 standard deviation (SD) years, randomly divided into two groups (51 eyes each). Group A: FS using Gore-Tex\n                      <jats:sup>\u00ae<\/jats:sup>\n                      , Group B: MLR. Postoperative outcomes were evaluated at 1, 6 and 12 months. Patients' ophthalmic examination including margin-reflex distance (MRD1) before and after surgery and postoperative complications were recorded.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>\n                      At the end of the follow-up, the mean MRD1 increased from 0.3 \u00b1 0.7 SD mm in Group A, 0.4 \u00b1 0.8 SD mm in Group B preoperatively, to 2.7 \u00b1 0.5 SD mm and 2.9 \u00b1 0.7 SD mm, respectively (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001 in both groups). Results of Group B were significantly higher than Group A (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.047). Success was achieved in 77 eyelids (75.4%), distributed as follows: 36 eyelids (70.6%) in Group A, and 41 eyelids (80.1%) in Group B. The total recurrence rate was 6.9% (seven eyes), while other complications were recorded in 23 eyes (22.5%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>\n                      MLR, compared to FS with Gore-Tex\n                      <jats:sup>\u00ae<\/jats:sup>\n                      sling, can be a more efficient surgical option to correct congenital blepharoptosis with poor levator excursion. Prominent postoperative lagophthalmos warrants close ocular surface observation in early follow-up weeks.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ojo.ojo_127_21","type":"journal-article","created":{"date-parts":[[2024,5,24]],"date-time":"2024-05-24T13:44:37Z","timestamp":1716558277000},"page":"173-178","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["Maximal levator resection versus Gore-Tex\u00ae sling for congenital blepharoptosis with poor levator function"],"prefix":"10.4103","volume":"14","author":[{"given":"Ahmed Said","family":"Dawood","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omar Abdelghany","family":"Hassan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed Othman","family":"El 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