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Modified supramid brow suspension in paediatric ptosis
Darakhshanda Khurram Butt1, A Jayaprakash Patil, Yassir M S Abou-Rayyah
1Paediatric Ophthalmology Department, Great Ormond Street Hospital for Children , London , United Kingdom .
Purpose:
To understand the safety and complication profile of the modified supramid brow suspension surgery in the paediatric ptosis.
Design:
Retrospective interventional case series.
Methods:
Review of medical notes of 32 patients who underwent supramid brow suspension surgery of the upper lid. Surgery was performed by a single surgeon at Great Ormond Street Hospital, London during 2007-2012. Complication rates were analysed.
Results:
Forty-six eyes of 32 patients underwent upper eye lid brow suspension surgery; 18 cases were unilateral and 14 bilateral. Mean follow-up period is 28 months after the surgery. Post-operative granulomatous reaction was noted in 6 eyes (13%) and prolonged exposure keratopathy in 2 eyes (4.3%). There were no cases of suture infection or exposure. No recurrence of ptosis was observed in any of the operated cases. Pupillary axis clearance was achieved in all eyes.
Conclusion:
Modified brow suspension surgery using supramid for upper eyelid ptosis is a safe and clinically useful procedure with low complication rate.
