Author/Authors :
Aletaha, Maryam Ophthalmic Research Center - Shahid Beheshti University of Medical Sciences, Tehran, Iran , Salour, Hossein Ophthalmic Research Center - Shahid Beheshti University of Medical Sciences, Tehran, Iran , Bagheri, Abbas Ophthalmic Research Center - Shahid Beheshti University of Medical Sciences, Tehran, Iran , Raffati, Nasrin Ophthalmic Research Center - Shahid Beheshti University of Medical Sciences, Tehran, Iran , Masoudi, Ali Ophthalmic Research Center - Shahid Beheshti University of Medical Sciences, Tehran, Iran
Abstract :
Purpose: To report the results of a modified frontalis sling procedure using Mersilene
mesh for correction of upper lid ptosis associated with poor levator muscle function.
Methods: This interventional case series included 10 patients (15 eyelids) with congenital ptosis and poor levator function. All subjects underwent the upper lid sling procedure with modifications. Main outcomes were lid crease height and position.
Results: Overall, 15 eyelids from ten patients including 7 male and 3 female subjects
underwent surgery. After a mean period of 10.2±2.8 months, all cases had symmetrical lid crease and contour; upper lid margin to corneal reflex distance and lid fissure were both increased significantly.
Conclusion: This modified frontalis sling procedure may be considered as an alternative to conventional surgery; this method provides good cosmesis and is associated with a low rate of reoperations.
