Surgical Correction of Unilateral Ptosis with Unilateral Frontalis Sling- our experience of 30 cases

Dr Ankita Shastri; Dr Buddhi Prakash Sharma

Volume : VIII, Issue : I, January - 2019

Surgical Correction of Unilateral Ptosis with Unilateral Frontalis Sling- our experience of 30 cases

Dr Ankita Shastri, Dr Buddhi Prakash Sharma

Abstract :

Purpose: To evaluate the functional and cosmetic results after frontalis sling repair for unilateral ptosis associated with poor levator function. Methods: Preoperative and postoperative photographs and records of 30 patients who underwent unilateral frontalis sling ptosis repair were retrospectively reviewed. An eyelid crease incision was used in all cases, with suturing of the sling material directly to tarsus. Results: Preoperative diagnosis for all patients was unilateral poor–function blepharoptosis .Underlying cause was congenital in all. There was a mean follow–up of 8 months . three eyelids required reoperation: 1 for undercorrection, 1 for overcorrection with keratopathy, 1 for removal of an infected exposed polytetraflouroethylene sling. No other complications were reported, except for 1 suture granuloma. Good to excellent final postoperative eyelid height was achieved in 27 patients (90%) after all surgeries and with conscious recruitment of the frontalis muscle. A large majority of patients and/or parents expressed satisfaction with the final cosmetic result and were not bothered by any asymmetric lagophthalmos in downgaze or lack of a synchronous blink. Conclusions: Unilateral sling provides good to excellent functional and cosmetic results in unilateral poor–function ptosis