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ORIGINAL ARTICLE
Year : 2017  |  Volume : 30  |  Issue : 2  |  Page : 502-506

Comparison of fasica lata and prolene suture in frontalis suspension surgery: frontalis muscle suspension


Departement of Ophthalmology, Faculty of Medicine, Menoufiya University, Shebin el kom, Menoufia, Egypt

Correspondence Address:
Sara A Nage
Department of Ophthalmology, Faculty of Medicine, Menoufia University, Shebin el kom, Menoufia, 32511
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1110-2098.215450

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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 groupI(20 eyelids), the upper-eyelid tarsus was suspended to the frontalis muscle using autogenous fascia lata. In groupII(20 eyelids), the upper-eyelid tarsus was suspended to the frontalis muscle using a ribbon of 0.3mm Gore-tex sheet. In groupIII(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 12months postoperatively(end of the follow-up period), there was no statistically significant difference between groupI and groupII regarding eyelid level. Fascia lata-related complications were detected in three eyelids of groupI. Gore-tex-related complications were detected in five eyelids of groupII. Prolene-related complications were detected in eight eyelids of groupIII. There was no statistically significant difference in complications between the three groups. The recurrence rate was 5%(one of 20 eyelids) in groupI, 10%(two of 20 eyelids) in groupII, and 40%(eight of 20 eyelids) in groupIII. 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.


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