Functional and cosmetic Outcome of supra brow single stab  incision frontalis sling  in congenital ptosis

Background– In addition to ptosis, the lack of eyelid crease is one of the main cosmetic problems of patients with poor levator function. In this study, we aimed to evaluate the effect of the single stab suprabrow incision frontalis sling

MATERIALS AND METHODS:

10 eyelids of 8 consecutive patients  presenting to the dept. of ophthalmology, VSSIMSAR, Burla with congenital ptosis with poor levator function ≤ 4mm. All the patients  underwent  suprabrow single stab (SBSS) frontalis sling surgery using Aurosling. Post operatively, patients were evaluated for lid and suprabrow edema, pain and discomfort and  functional outcomes  using parameters like vertical fissure height, MRD–1, lagophthalmos and lid closure .

Follow up period– 3 months .

RESULTS:                                   

 Lid contour and lid crease symmetry were good in 80% of the cases , eyelid crease formation was satisfactory in all the cases.  There was less postoperative  scarring and excellent cosmesis .

CONCLUSION:

The Supra brow single stab  frontalis suspension technique, while retaining the usual advantages and functional results of standard sling procedures, is associated with decreased intraoperative bleeding, reduced postoperative edema and scarring.