Clinical efficacy of conjoint fascial sheath of the levator and superior rectus attached to conjunctival fornix suspension surgery in treatment of severe blepharoptosis

Abstract

Objective To investigate the clinical efficacy of conjoint fascial sheath (CFS) of the levator and superior rectus attached to the conjunctival fornix suspension surgery and the modified frontails muscle suspension in the treatment of severe blepharoptosis. Methods There were 15 eyes of 11 patients in the group with CFS suspension and 12 eyes of 10 patients in the other group with frontails muscle suspension. Follow-up was conducted for 1 week to 6 months. The surgical results were compared with statistical analysis. Results Among the patients 2 cases of palpebral fissure was closed poorly, 1 cases of upper eyelid had poor shape, 4 cases of upper lid was lag, 2 cases of recurrence in group with modified frontails muscle suspension, and compared with 1 case of less straightening phenomenon in the group with CFS suspension. All the others, palpebral fissures were completely closed, the appearance of double eyelid was good, with no exposure keratitis. In terms of postoperative curative effect in 6 months observation, group with CFS suspension had less complications and was of advantages in the symmetry of upper eyelid fissure. The effect of correction post operation and upper eyelid back amount in the group with CFS suspension were better than those with the frontails muscle suspension in 6 months. There was significantly statistical difference. Conclusions The surgery with CFS suspension is of advantages of aesthetic appearance, high security, natural look, high satisfaction from patients, less complications and more in line with the physiology, which is worthy of clinical reference. Key words: Blepharoptosis; Frontails fascia flap suspension; Conjoint fascial sheath; Levator muscle