Modified frontalis sling procedure with lid crease formation.
OBJECTIVE
To report the results of a modified frontalis sling procedure using Mersilene mesh for correction of upper lid ptosis associated with poor levator muscle function.


METHODS
This interventional case series included 10 patients (15 eyelids) with congenital ptosis and poor levator function. All subjects underwent the upper lid sling procedure with modifications. Main outcomes were lid crease height and position.


RESULTS
Overall, 15 eyelids from ten patients including 7 male and 3 female subjects underwent surgery. After a mean period of 10.2±2.8 months, all cases had symmetrical lid crease and contour; upper lid margin to corneal reflex distance and lid fissure were both increased significantly.


CONCLUSIONS
This modified frontalis sling procedure may be considered as an alternative to conventional surgery; this method provides good cosmesis and is associated with a low rate of reoperations.
Ophthalmic Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Maryam
M
Aletaha
Hossein
H
Salour
Abbas
A
Bagheri
Nasrin
N
Raffati
Ali
A
Masoudi
Crease Formation; Frontalis Sling; Ptosis