Efficacy of Silicone Sling and Polypropylene (prolene) in Correction of Congenital Blepharoptosis by Frontalis Suspension

Aims & Objective: To compare the cosmetic and functional results of frontalis suspension in congenital blepharoptosis using Silicone sling versus polypropylene. Materials Methods: A retrospective study, that was conducted at tertiary care hospital from 1st January 2018 to December 2021, thirty two patients with age ranging 5-50 years, ptosis having levator function 4 mm or less were randomly divided into groups: Group I (which included 16 who underwent brow silicon rod) II consisted prolene). After proper pre-operative assessment performed under general / local anaesthesia. Post-operative results, recurrence rates associated complications compared between these 2 groups. Final taken be those 1 month, 6 months' post-operative. Results: The mean silicone group 26.4 +/- 18.6 years while it 26.6 21.4 for prolenegroup. There a male predominant distribution both groups (9:1 silicone, 7:3 prolene ). late postoperative margin reflex distance (MRD) palpebral fissure height (PFH) was1.76 1.02, 9.45 2.34 was0.65 0.54 , 6.56 2.74 respectively . Patients had significantly higher PFHs (P<0.0001) ( P< 0.005) as well MRDs (P<0.0007) (P< 0.054) month months postoperatively Good success graded by lid contour, symmetry, crease recorded 81.25% (13/16), 56.25% (9/16), 68.75% (11/16) patients, respectively.In group, (9/16) experienced good outcomes contour symmetry. However, 43.75% (7/16) this outcomes.Frontalis showed tube (93%) (69%). Conclusion: established treatment poor is surgery. upper ptotic attached muscle elevated actively on elevating brow. use rod tarsofrontalis surgery repair safe effective surgery, few easy removal adjustment.