Chennai: A 4-year-old boy underwent successfully paediatric surgery for Monocular Elevation deficiency (MED) with congenital ptosis, a disorder of the eyes with congenital eye muscle problem. The boy was suffering from vision impairment due to congenital ptosis with double elevator palsy condition. The prevalence of such a condition is less than 0.5% of all squint cases.
“The usual surgical practice is inferior muscle weakening done during the first sitting, followed by Knapp's surgery done around 4 months later. Instead of the 2-sittings procedure with a treatment gap of 4 months, this procedure was done in a single sitting to the patient. The advantage is the child has a quick remedial action as a one surgical procedure for the squint thereby the ptosis (drooping eyelid) can be corrected in three weeks resulting in quicker visual rehabilitation of the patient”, said Dr. Manjula Jayakumar, Paediatric Ophthalmologist, Dr.Agarwal Eye Hospital.
Dr. Ashvin Agarwal, ED, Dr Agarwal Group of Eye Hospitals said, “This unique surgical procedure is being reviewed by JAAPOS, the journal of American Association for Pediatric Ophthalmology and Strabismus, as a new surgical procedure for Monocular elevation deficiency”.
