title: The use of polypropylene suture as a frontalis suspension material in all age groups of ptosis patients.
abstract: OBJECTIVE
  To evaluate the use of 2-0 polypropylene suture for frontal suspension in ptosis patients with poor levator function.
  
  
  METHODS
  This retrospective study included 20 eyelids of 16 patients (5 female, 11 male) with 4 mm or less levator function. The operation was considered successful when the difference between the two upper lids was ≤ 1 mm, and the upper lid covered the upper limbus by <3 mm.
  
  
  RESULTS
  Median patient age was 22.94 years (2 to 59). Mean follow-up time was 18.06 months (12-29). A successful result was obtained in 14 patients (87.5%). Ptosis recurrence was observed in two patients (12.5%). Lagophthalmos with punctate epithelial keratitis and subsequent spontaneous recovery occurred during the first postoperative week in six patients (37.5%). Two patients with hypocorrection underwent revision surgery in the first postoperative week. Granuloma and material exposition at the forehead incision site observed in one patient at the postoperative fifth month were repaired by excision of the granuloma and suture reposition.
  
  
  CONCLUSIONS
  Polypropylene suture as a frontalis suspension material in ptosis patients with poor levator function maintained satisfactory results at follow-up. This material allows easy and repeatable eyelid height adjustment and does not obviate future eyelid procedures.
authors.affiliation: Department of Ophthalmology, Faculty of Medicine, Kafkas University , Kars , Turkey .
authors.forename: Halil Huseyin
authors.initials: HH
authors.lastname: Cagatay
authors.forename: Metin
authors.initials: M
authors.lastname: Ekinci
authors.forename: Aytekin
authors.initials: A
authors.lastname: Apil
authors.forename: Banu
authors.initials: B
authors.lastname: Arslan
authors.forename: Can
authors.initials: C
authors.lastname: Pamukcu
authors.forename: Mehmet Ersin
authors.initials: ME
authors.lastname: Oba
authors.forename: Mehmet
authors.initials: M
authors.lastname: Demir
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001763:Blepharoptosis / Q000601:surgery*; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011126:Polypropylenes; D013536:Suture Techniques; D013537:Sutures; D055815:Young Adult
chemical_list: D011126:Polypropylenes
keywords: blepharoptosis; eye lid; frontalis suspension; levator function; polypropylene; scin crease