PURPOSE Cosmetic and functional outcomes of frontalis suspension surgery using autologous fascia lata (FL) or silicone rods (SRs) in pediatric congenital ptosis. DESIGN Retrospective case series. STUDY SUBJECTS 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 functi...

CONGENITAL ptosis in association with jaw-winking is a clinical entity in which the ptosis disappears and the lid retracts on opening the mouth, or on moving the jaw to the opposite side. This condition, known as the Marcus Gunn phenomenon (Gunn, 1883), has been noted in association with paralysis of the superior rectus (Proskauer, 1891; Goldzeiher, 1892), internal rectus (Uhthoff, 1888), exter...

purpose: to compare mersilene mesh and autogenous fascia lata in the management of low-function ptosis. methods: a randomized clinical trial was performed on 31 eyelids with poor levator function. patients were randomly assigned to two groups: 16 eyelids in the mersilene mesh group and 15 eyelids in the autogenous fascia lata group. results: nine patients with congenital unilateral and 11 patie...

Drooping of the upper eyelids is one of the most common complaints in oculoplastic practice. Other related complaints include difficulty seeing due to the attendant visual field obstruction and prefrontal headaches due to chronic use of the frontalis muscle in an attempt to lift the eyelids [1]. This anatomic and morphologic state is termed ptosis, from the Greek ‘‘to fall.’’ Ptosis causes a si...

The authors describe a one-step anterior approach levator resection technique with intraoperative adjustable sutures. Forty-four ptotic eyes were divided into five groups, and the results of this technique were evaluated for each of these five types of ptosis. Our results show that it is not possible to predict the extent of a levator resection preoperatively from the assessment of the levator ...

BACKGROUND Silicone rod is a commonly used synthetic suspension material in frontalis suspension surgery to correct blepharoptosis. The most challenging problem and a decisive drawback of the use of silicone rod is a considerable rate of ptosis recurrence after surgery. We examined patients with recurred ptosis and assessed the physical and micromorphological properties of implanted silicone ro...

purpose: to evaluate the outcomes of ptosis surgery in patients with weak levator function using orbicularis oculi and frontalis muscles. methods: this prospective interventional case series study was conducted over 3 years on patients with ptosis and weak levator function (less than 4mm). in all cases, orbicularis oculi and frontalis muscles were used directly to correct the ptosis. success wa...

Introduction: An abnormally drooping upper eyelid in comparison with the normal position primary gaze refers to ptosis. Levator resection should be procedure of choice patients moderate severe ptosis and a good levator function. Methods: In this retrospective study, we analysed surgical outcomes after large maximal function Bell’s phenomenon. All had function; therefore, was choice. We performe...

AIM To study the frequency of amblyogenic factors in patients with congenital ptosis. METHODS In this cross-sectional study, 114 eyes of 100 patients with congenital ptosis more than 1 year old were included. Amblyopia was defined as best-corrected visual acuity (BCVA) less than 10/10 or a difference between the two eyes of at least 2/10. In patients too young to be measured by the linear Sne...