•  
  •  
 

Article Type

Original Study

Abstract

Objectives The aim of the study was to compare prolene suture, polytetrafluoroethylene sheet, and fascia lata for frontalis suspension surgery in the treatment of congenital ptosis with poor levator function. Background Eyelid frontalis suspension surgery is a common operative procedure used to correct severe blepharoptosis in eyes with poor levator muscle function. The main indication for frontalis suspension surgery is severe blepharoptosis secondary to myogenic, neurogenic, mechanical, and traumatic disorders. Patients and methods Eyelids were divided into three groups. In group I (20 eyelids), the upper-eyelid tarsus was suspended to the frontalis muscle using autogenous fascia lata. In group II (20 eyelids), the upper-eyelid tarsus was suspended to the frontalis muscle using a ribbon of 0.3 mm Gore-tex sheet. In group III (20 eyelids), the upper-eyelid tarsus was suspended to the frontalis muscle using prolene suture. Follow-up of eyelid level and reporting of postoperative complications and incidence of recurrence were done. Results At 12 months postoperatively (end of the follow-up period), there was no statistically significant difference between group I and group II regarding eyelid level. Fascia lata-related complications were detected in three eyelids of group I. Gore-tex-related complications were detected in five eyelids of group II. Prolene-related complications were detected in eight eyelids of group III. There was no statistically significant difference in complications between the three groups. The recurrence rate was 5% (one of 20 eyelids) in group I, 10% (two of 20 eyelids) in group II, and 40% (eight of 20 eyelids) in group III. The difference in recurrence rates was statistically nonsignificant. Conclusion Fascia lata is a good sling material, followed by Gore-tex sheet. Prolene suture has many complications and is associated with a high rate of recurrence.

Download

Share

COinS