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2-0 Prolene brow suspension for paediatric ptosis: a retrospective case series of 37 eyes
Olivia MacVie1, Helen Garrott, Petros Aristodemou
1Bristol Eye Hospital, Ophthalmology, Bristol, United Kingdom.
Insights
2-0 Prolene brow suspension surgery demonstrated a 72.9% success rate in pediatric ptosis cases with poor levator function, offering a durable solution with few complications.
Area of Science:
- Ophthalmology
- Surgical Procedures
Background:
- Pediatric ptosis, particularly with poor levator function, presents significant surgical challenges.
- Effective surgical correction is crucial for visual development and cosmesis.
Purpose of the Study:
- To evaluate the efficacy and outcomes of 2-0 Prolene brow suspension surgery for treating pediatric ptosis.
- To determine the long-term success rates and complication profile of this surgical technique.
Main Methods:
- A retrospective review was conducted on patients who underwent 2-0 Prolene brow suspension surgery between 1997 and 2007.
- Surgical success was defined by postoperative eyelid height and symmetry.
Main Results:
- The study included 27 patients (37 eyelids) with a mean follow-up of 71 months.
- An overall success rate of 72.9% was achieved, with 10 recurrences noted.
- The complication rate was low at 5.4%.
Conclusions:
- 2-0 Prolene brow suspension surgery provides a long-lasting solution for pediatric ptosis with poor levator function.
- Success rates are comparable to other non-autogenous materials, potentially avoiding more complex secondary procedures.
Aim:
To assess the efficacy of 2-0 prolene brow suspension surgery in paediatric ptosis with poor levator function.
Materials And Methods:
Retrospective review of cases that underwent 2-0 Prolene brow suspension surgery between 1997-2007. Primary surgical success was defined as post-operative lid height clear of the pupil and asymmetry of 2 mm or less.
Results:
Twenty-seven patients (37 lids) were included in the study. The mean follow-up period was 71 months (range 2-173). There were 10 recurrences giving an overall success rate of 72.9%. The complication rate was 5.4%.
Conclusions:
Prolene brow suspension surgery in most patients has a long-lasting effect with a low complication rate. Success rates are comparable to other non-autogenous materials. This may obviate the need for a more definitive secondary procedure in the future.
