Skip to main content
main-content

10.09.2018 | Oculoplastics and Orbit | Ausgabe 2/2019

Graefe's Archive for Clinical and Experimental Ophthalmology 2/2019

Incidence and risk of ptosis following ocular surgery: a systematic review and meta-analysis

Zeitschrift:
Graefe's Archive for Clinical and Experimental Ophthalmology > Ausgabe 2/2019
Autoren:
Yijie Wang, Lixia Lou, Zhifang Liu, Juan Ye
Wichtige Hinweise

Electronic supplementary material

The online version of this article (https://​doi.​org/​10.​1007/​s00417-018-4130-6) contains supplementary material, which is available to authorized users.

Abstract

Objective

We conducted a systematic review and meta-analysis to evaluate the incidence and risk factors of ptosis following ocular surgery.

Methods

PubMed, Embase, and Cochrane Library were searched for articles that assessed the incidence or risk factors of ptosis following ocular surgery up to October 2017. We used a fixed effects model to calculate a pooled estimate of incidence, with subgroup analyses to evaluate the effect of different variables. The relative risks (RRs) or odds ratios (ORs) and 95% confidence intervals (CIs) for all available factors were calculated using the fixed effects models.

Results

A total of 16 studies on 2856 eyes were analyzed, including 3 randomized controlled trials (RCTs) and 13 cohort studies. The overall incidence of ptosis following ocular surgery was 11.4% (95% CI 10.1–12.8%). Subgroup analyses showed that the region and the surgery type were significantly associated with the incidence of postoperative ptosis. Men were less likely to get postoperative ptosis than women (OR 0.62; 95% CI 0.43–0.89). However, age (OR 0.77; 95% CI 0.48–1.23), side (OR 1.37; 95% CI 0.84–2.25), type of anesthesia (OR 0.57; 95% CI 0.16–2.05), prior surgery (OR 1.09; 95% CI 0.64–1.83), bridle suture (OR 2.04; 95% CI 0.94–4.42), or combined surgery (OR 0.95; 95% CI 0.58–1.57) did not significantly change the risk of ptosis following ocular surgery.

Conclusion

More than one in ten patients who undergo ocular surgery will develop ptosis. Different regions and surgery types may influence the occurrence of this abnormality. Female gender is a risk factor for development of postoperative ptosis.

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

★ PREMIUM-INHALT
e.Med Interdisziplinär

Für Ihren Erfolg in Klinik und Praxis - Die beste Hilfe in Ihrem Arbeitsalltag als Mediziner

Mit e.Med Interdisziplinär erhalten Sie Zugang zu allen CME-Fortbildungen und Fachzeitschriften auf SpringerMedizin.de.

Alle e.Med Abos bis 30. April 2021 zum halben Preis!

Jetzt e.Med zum Sonderpreis bestellen!

Zusatzmaterial
Nur für berechtigte Nutzer zugänglich
Literatur
Über diesen Artikel

Weitere Artikel der Ausgabe 2/2019

Graefe's Archive for Clinical and Experimental Ophthalmology 2/2019 Zur Ausgabe

Neu im Fachgebiet Augenheilkunde

19.03.2021 | Retinitis pigmentosa | Das diagnostische und therapeutische Prinzip | Ausgabe 5/2021 Open Access

Transkorneale Elektrostimulation bei Retinitis pigmentosa

Prüfplan einer multizentrischen, prospektiven, randomisierten, kontrollierten und doppelblinden Studie im Auftrag des Gemeinsamen Bundesausschusses (G-BA-Erprobungsrichtlinie)

17.03.2021 | Glaukom | Leitthema | Ausgabe 5/2021

Bedeutung von Citicolin bei der Glaukomerkrankung