J Korean Ophthalmol Soc.  2001 Jul;42(7):950-954.

Frontalis Suspension Using Preserved Fascia Lata for Severe Congenital Ptosis Under 2 years of Age

Affiliations
  • 1Department of Ophthalmology, Samsung Medical Center, School of Medicine, Sungkyunkwan University, Seoul, Korea. ydkim@ smc.samsung.co.kr

Abstract

PURPOSE
To investigate the effect of frontalis sling operation with preserved fascia lata before 2 years of age when amblyopia has existed or is suspiscious.
METHODS
We reviewed the medical charts of ptosis patients who undergone frontalis sling with preserved fascia lata before 2 years of age from December 1994 through February 2000. Thirty four patients was included.
RESULTS
There were 21 men and 13 women with ages ranging from 5 to 23 months(mean, 13.4 months). With a mean follow-up of 22 months(range 6-60months), 30 patients(88%) achieved normal or near normal eyelid position. Four slings eventually failed, requiring repeat procedure with autogenous fascia lata(2 cases) or preserved fascia lata(1 case). Three patients achieved good results.
CONCLUSIONS
Our findings suggest that the frontalis sling using preserved fasica lata has good potential for ptosis management in children before 2 years of age

Keyword

Frontalis sling; Preserved fascia lata; Ptosis; 2 years of age
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