Silicone rod frontalis sling for the correction of blepharoptosis

A frontalis sling procedure for blepharoptosis using a 1 mm solid silicone rod is described. This procedure is ideal for patients requiring frontalis suspension who are at risk for postoperative exposure keratopathy, or for patients likely to need postoperative eyelid position adjustment. These would include individuals with chronic progressive external ophthalmoplegia, third nerve paralysis, and myasthenia gravis. The advantages of this technique are the elasticity and the availability of the silicone rod, together with formation of an eyelid crease and ability postoperatively to adjust the position of the upper eyelid.