ISSN: 1300-0365
Dil: Türkçe
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ORIGINAL RESEARCH ARTICLES |
Frontalis Sling Surgery With Autogenous Facia Lata In Congenital Ptosis
Dr. Sevin SÖKER ÇAKMAK,a Dr. İhsan ÇAÇA,a Dr. Kaan ÜNLÜ,a Bağdagül BİLEKa
aGöz Hastalıkları AD, Dicle Üniversitesi Tıp Fakültesi, DİYARBAKIR
Objective: Frontalis sling surgery results in advanced congenital ptosis by using facia lata were evaluated.
Material and Methods: 19 eyelids of the 18 cases with congenital ptosis who had undergone frontalis suspension surgery using facia lata between March 2001-March 2003 were included in this study. All cases had less than 4 mm of levator muscle action in the affected eyelids. A comprehensive preoperative examination including visual acuity, lid crease position, the Bell reflex, extraocular eye movement, jaw-winking phenomenon, examination of the fundus, was performed on all patients. Full correction or ≤ 1 mm of residual ptosis with a good lid contour is considered as a succesful result.
Results: Six (33.33%) cases were female; twelwe (66.67%) were male. Mean age ± SD was 12.22 ± 7.6 ( range, 4 to 27) years. Ptosis was corrected in all cases after a mean follow up of 10.66 ± 8.0 (3 to 24) months. The observed postoperative complications were exposure keratopathy in 1 case and entropion in 1 case.
Conclusion: Frontalis suspension with autogenous facia lata appears to be an effective treatment for congenital ptosis with poor levator function.Keywords: Ptosis, autogenous facia lata, frontalis slingTurkiye Klinikleri J Ophthalmol 2005, 14:13-16
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