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Evaluation of transconjunctival frontalis suspension using nonabsorbable suture.
Tamer I Gawdat1, Suzan F Elsayed, Yehia M Salah El-Din
1Ophthalmology Department, Kasr Al-Aini Hospital, Cairo University, Cairo, Egypt. lgawdat@hotmail.com
European Journal of Ophthalmology
|November 20, 2009
Summary
Transconjunctival frontalis suspension using 4/0 polypropylene suture is a simple, effective treatment for severe blepharoptosis with poor levator function, yielding good cosmetic and functional outcomes.
Area of Science:
- Ophthalmology
- Surgical Techniques
Background:
- Severe blepharoptosis with poor levator function presents a surgical challenge.
- Frontalis suspension is a common surgical approach for such cases.
Purpose of the Study:
- To evaluate the efficacy and safety of transconjunctival frontalis suspension using 4/0 polypropylene suture.
- Assessing outcomes in patients with severe blepharoptosis and poor levator function.
Main Methods:
- Prospective interventional case series involving 22 patients (33 eyelids).
- Transconjunctival frontalis suspension with 4/0 polypropylene suture was performed.
- Patients included those with congenital, blepharophimosis-associated, and traumatic ptosis.
Main Results:
- The technique was found to be easy and fast to perform.
- Good functional and cosmetic results were observed across all patient groups.
- A recurrence rate of 9% (3 eyelids) was noted after 3 years.
- Follow-up duration ranged from 1 to 4 years.
Conclusions:
- Transconjunctival frontalis suspension is a simple, time-saving procedure for severe blepharoptosis.
- The technique provides satisfactory functional and cosmetic results.
- 4/0 Polypropylene suture offers good handling and satisfactory outcomes with minimal complications like swelling or infection.
