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Congenital ptosis: longterm results using stored fascia lata
J O'Reilly1, B Lanigan, R Bowell
1Department of Paediatric Ophthalmology, The Children's Hospital, Dublin, Ireland.
Purpose:
Frontalis brow suspension, using stored donor fascia lata, allows early correction of severe congenital ptosis. We report longterm results of 18 patients, (29 ptotic eyelids).
Methods:
Patient records were retrospectively reviewed. Lid position at the first and subsequent post-operative visits was recorded, as was the time when ptosis recurred.
Results:
The mean follow-up period was 42.9 months (range 7 to 84 months). All patients achieved a Good initial result. Partial ptosis recurrence was noted in 7 patients (10 eyelids), within 18 months of surgery. One of these patients required reoperation. Lid position did not change after the first 18 months. No late failures were encountered.
Conclusion:
Longterm lid position is remarkably stable after early surgical correction of severe congenital ptosis using stored fascia lata.