title: Transconjunctival frontalis suspension: a clinical evaluation.
abstract: OBJECTIVE
  To determine the effectiveness of transconjunctival frontalis suspension in patients with blepharoptosis and poor levator function (eyelid excursion less then 5 mm).
  
  
  METHODS
  The medical records of 29 patients (50 ptotic eyelids) were reviewed.
  
  
  RESULTS
  Four patients (eight eyelids) had blepharophimosis syndrome, ten patients (27 eyelids) had congenital ptosis, seven patients (14 eyelids) had myogenic ptosis, and one patient (one eyelid) had neurogenic ptosis. Surgical results were good and complications were minimal during follow-up intervals ranging from six months to seven years.
  
  
  CONCLUSIONS
  Transconjunctival frontalis suspension is technically simpler than traditional external frontalis suspension and yields satisfactory functional and cosmetic results in patients with poor levator function.
authors.affiliation: Advanced Eye Center, Savannah, Georgia 31405, USA.
authors.forename: H J
authors.initials: HJ
authors.lastname: Loff
authors.forename: J L
authors.initials: JL
authors.lastname: Wobig
authors.forename: R A
authors.initials: RA
authors.lastname: Dailey
mesh_terms: D000293:Adolescent; D000368:Aged; D001763:Blepharoptosis / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D003228:Conjunctiva / Q000601:surgery*; D005143:Eyelids / Q000601:surgery*; D005152:Facial Muscles / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009801:Oculomotor Muscles / Q000601:surgery*; D013508:Ophthalmologic Surgical Procedures / Q000379:methods*; D017060:Patient Satisfaction; D012189:Retrospective Studies