Survey of patients with presentation of ptosis in ophthalmic-plastic subspecialty clinic

Ptosis may interfere with normal development of vision in children and activities of daily living when the field of vision is impaired in adults. Purpose: To find out the incidence and pattern of ptosis with associated visually disabling problems in oculoplastic clinic in order to have management plan for the sufferer. Materials and Methods: A cross-sectional study based on data obtained from oculoplastic clinic from January 2015 to July 2017. These were socio-economic characteristics, types of ptosis, severity, laterality, visual acuity and treatment offered. Results: There were 106 cases of patients who presented with Ptosis in oculoplastic clinic. This constituted 7.1% of all new cases seen. There were 60 (56.6%) males and 46 (43.4%) females with male to female ratio of 1.3:1.0. More than 3/5th of patients with ptosis 65 (61.3%) were found in 18years and above. Of all the types of ptosis, traumatic was the commonest 54 (34.0) followed by mechanical ptosis 36 (34.0) with highest proportion among students. The traumatic ptosis was significantly higher in males than females. High proportion of severe degree of ptosis was found in neurogenic and traumatic while mechanical, congenital and aponeurotic caused high proportion of mild degree of ptosis. About 1/5th of the patients presented with monocular blindness. Conclusion: Ptosis incidence constituted an appreciable proportion of patients seen in oculoplastic subspecialty clinic with traumatic as commonest among active economically productive age group. One fifth of these patients presented with monocular blindness. Psychosocial implications and visual disabling problems need to be methodically addressed by the managing oculoplastic specialist. Keywords: Clinic, Incidence, Ophthalmic-plastic, Ptosis.