PMID: 19924669Nov 20, 2009Paper

Evaluation of transconjunctival frontalis suspension using nonabsorbable suture

European Journal of Ophthalmology
Tamer I GawdatHesham F Kamel

Abstract

To evaluate the transconjunctival frontalis suspension technique using nonabsorbable suture (4/0 polypropylene) in patients with severe blepharoptosis and poor levator function. A total of 22 patients (33 ptotic eyelids) were included in a prospective interventional case series study. All had severe ptosis with poor levator function. Transconjunctival frontalis suspension using 4/0 polypropylene suture was done in all patients. Twelve patients (17 eyelids) had congenital ptosis, 6 patients (12 eyelids) had blepharophimosis, and 4 patients (4 eyelids) had traumatic ptosis. The surgical technique was easy and fast and surgical results in the 3 groups were good functionally and cosmetically. Recurrences in 3 eyelids (9%) happened after 3 years. Follow-up ranged from 1 to 4 years. Transconjunctival frontalis suspension technique is simple and time saving for treatment of severe ptosis with poor levator function. It gives good functional and cosmetic results. Healing was normal with no postoperative swelling or infection. 4/0 Polypropylene exhibits satisfactory results and easy manipulation.

References

Jan 1, 1991·Ophthalmic Plastic and Reconstructive Surgery·R A DaileyJ L Wobig
Oct 8, 1999·Ophthalmic Plastic and Reconstructive Surgery·H J LoffR A Dailey
Apr 28, 2006·Plastic and Reconstructive Surgery·Henri FriedhoferMarcus Castro Ferreira

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