Evaluation of transconjunctival frontalis suspension using nonabsorbable suture.
OBJECTIVE
To evaluate the transconjunctival frontalis suspension technique using nonabsorbable suture (4/0 polypropylene) in patients with severe blepharoptosis and poor levator function.


METHODS
A total of 22 patients (33 ptotic eyelids) were included in a prospective interventional case series study. All had severe ptosis with poor levator function. Transconjunctival frontalis suspension using 4/0 polypropylene suture was done in all patients.


RESULTS
Twelve patients (17 eyelids) had congenital ptosis, 6 patients (12 eyelids) had blepharophimosis, and 4 patients (4 eyelids) had traumatic ptosis. The surgical technique was easy and fast and surgical results in the 3 groups were good functionally and cosmetically. Recurrences in 3 eyelids (9%) happened after 3 years. Follow-up ranged from 1 to 4 years.


CONCLUSIONS
Transconjunctival frontalis suspension technique is simple and time saving for treatment of severe ptosis with poor levator function. It gives good functional and cosmetic results. Healing was normal with no postoperative swelling or infection. 4/0 Polypropylene exhibits satisfactory results and easy manipulation.
Gawdat
Tamer I
TI
Ophthalmology Department, Kasr Al-Aini Hospital, Cairo University, Cairo, Egypt. lgawdat@hotmail.com
Elsayed
Suzan F
SF
Salah El-Din
Yehia M
YM
Kamel
Hesham F
HF
D000293:Adolescent; D000328:Adult; D016569:Blepharophimosis / Q000503:physiopathology / Q000601:surgery*; D019882:Blepharoplasty / Q000379:methods*; D001763:Blepharoptosis / Q000503:physiopathology / Q000601:surgery*; D001767:Blinking / Q000502:physiology; D002648:Child; D002675:Child, Preschool; D003228:Conjunctiva / Q000601:surgery*; D005143:Eyelids / Q000502:physiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008297:Male; D011126:Polypropylenes; D020127:Recovery of Function; D013536:Suture Techniques / Q000295:instrumentation*; D013537:Sutures; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult
D011126:Polypropylenes