Cosmetic and functional outcomes of frontalis suspension surgery using autologous fascia lata or silicone rods in pediatric congenital ptosis.
OBJECTIVE
Cosmetic and functional outcomes of frontalis suspension surgery using autologous fascia lata (FL) or silicone rods (SRs) in pediatric congenital ptosis.


METHODS
Retrospective case series.


METHODS
Patients with congenital ptosis, aged 18 years or younger, during the period under study (2005-2011) at the Singapore National Eye Centre.


METHODS
Review of case records for functional and cosmetic outcome measures after frontalis suspension surgery using either SRs or autologous FL.


RESULTS
A total of 18 patients were studied (14 eyelids had FL, 16 eyelids had SRs) with mean ages of 7.1 (range 5-12) and 7.2 (range 4-18) years for the FL and SR groups, respectively. Mean follow-up period was 41.6 (range 11.2-77.9) and 48.6 (16.1-87.4) months, respectively. Patients in the FL group had better functional and cosmetic results compared to those in silicone group, with no recurrence of ptosis. More complications were experienced by patients in the SR group.


CONCLUSIONS
Autologous FL for frontalis suspension remains an excellent choice for (and should be considered as useful surgical armamentarium for) repair of severe congenital ptosis.
Department of Ophthalmology, Singapore National Eye Centre; Department of Ophthalmology, Yong Loo Lin School of Medicine, National University of Singapore.
Hsi-Wei
HW
Chung
Department of Ophthalmology, Singapore National Eye Centre; Department of Ophthalmology, Yong Loo Lin School of Medicine, National University of Singapore; Department of Clinical Sciences, Duke-NUS Graduate Medical School, Singapore.
Lay Leng
LL
Seah
congenital ptosis; fascia lata; frontalis suspension; silicone rod
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