title: Mersilene mesh as an alternative to autogenous fascia lata in brow suspension.
abstract: 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.
authors.affiliation: Tennent Institute of Ophthalmology, Gartnavel General Hospital, Glasgow, Scotland.
authors.forename: E G
authors.initials: EG
authors.lastname: Kemp
authors.forename: K
authors.initials: K
authors.lastname: MacAndie
mesh_terms: 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
chemical_list: D011093:Polyethylene Terephthalates; C025539:Lavsan