Mersilene mesh as an alternative to autogenous fascia lata in brow suspension.
OBJECTIVE
To evaluate the outcome and complications of brow suspension surgery for ptosis repair performed with Mersilene mesh as the suspensory material.


METHODS
A retrospective review was undertaken of all patients undergoing Mersilene mesh brow suspension surgery during a 9-year period. All patients had undergone the same surgical procedure performed by the same surgeon. Preoperative and postoperative palpebral aperture heights were recorded, and the results were analyzed to provide a mean change in palpebral aperture height. The case records of patients with a poor response to surgery were examined carefully, and possible risk factors for a poor outcome were identified.


RESULTS
The mean (95% confidence interval) increase in palpebral aperture height was 1.8 mm (1.2-2.4 mm). Factors associated with a poorer outcome were previous ptosis surgery and Marcus Gunn jaw-winking syndrome.


CONCLUSIONS
Mersilene mesh has advantages over other materials for use as a suspensory material in brow suspension surgery, and is associated with a good outcome and low complication rate.
Kemp
E G
EG
Tennent Institute of Ophthalmology, Gartnavel General Hospital, Glasgow, Scotland.
MacAndie
K
K
D000293:Adolescent; D000328:Adult; D001763:Blepharoptosis / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D005138:Eyebrows / Q000601:surgery*; D005143:Eyelids / Q000601:surgery; D005206:Fascia Lata / Q000637:transplantation*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013508:Ophthalmologic Surgical Procedures; D011093:Polyethylene Terephthalates; D012189:Retrospective Studies; D012307:Risk Factors; D013526:Surgical Mesh; D016896:Treatment Outcome
D011093:Polyethylene Terephthalates; C025539:Lavsan