Management of Mersilene mesh chronic eyelid complications: a systematic approach.
BACKGROUND
Mersilene mesh (polyester fibre) is commonly used in ptosis surgery for frontalis suspension as it is readily available and cheap. Management of extrusion can be challenging. We report three cases of extrusion where extremely thick mesh or extremely thin tissue may have contributed to the extrusion.


METHODS
Retrospective case note study of three adult patients who developed chronic mesh extrusion.


RESULTS
Extrusion and chronic infection occurred 5-12 months after surgery. Despite systemic antibiotics, all three patients required surgical excision of mesh from the eyelid up to the brow, which was curative.


CONCLUSIONS
These cases illustrate the need for a systematic approach and the need in some cases to excise the mesh to prevent recurrent infection.
Mehta
P
P
Western Eye Hospital, Marylebone Road, London, UK.
Patel
P
P
Olver
J M
JM
D000368:Aged; D000369:Aged, 80 and over; D001763:Blepharoptosis / Q000601:surgery*; D002908:Chronic Disease; D005260:Female; D005548:Foreign-Body Migration / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012189:Retrospective Studies; D013526:Surgical Mesh / Q000009:adverse effects*