FRONTALIS SLING OPERATION WITH FASCIA LATA FOR SEVERE CONGENITAL PTOSIS

Abstract

Objective: To determine and document the effectiveness and impact of frontalis sling procedure with fascia lata in the management of severe congenital ptosis. Design: A descriptive study. Place and Duration of Study: Combined Military hospitals of Pakistan Army (CMH Jhelum, Quetta, Lahore, Multan and Peshawar) from August 1991 to March 2005 (with a tenure of 3 to 4 years in each hospital). Patients and Methods: Six cases of severe congenital ptosis with levator palpebrae superioris function of 4mm or less were selected while working in general eye clinics. Preoperatively careful history and examination was carried out and bilateral frontalis sling procedure with fascia lata was performed under general anesthesia on these patients. Post-operatively, cosmetic appearances, functional evaluation and complications were assessed. Results: All these patients had satisfactory cosmetic and functional results except one who had slight lid asymmetery after a prolonged follow up.

Conclusion: Frontalis sling procedure with fascia lata gives satisfying and acceptable results in most of the cases of severe congenital ptosis.