Correction of congenital ptosis using Ptose‐up

Abstract

Abstract Purpose: To determine the functional and cosmetic results of Ptose‐up ptosis sling material for the correction of congenital ptosis. Methods: In this prospective study, 13 frontalis sling suspension surgeries were performed by the same surgeon in 12 consecutive children with congenital ptosis. The sling material was sutured to the tarsus through an eyelid crease incision. The eyelid contour, complications during and following surgery were recorded. Results: The ages of the cases ranged from 1 to 21 years (mean 7.5 ± 6.9 years). The patients were followed‐up for at least 6 months (mean 16.7 ± 8.4 months). All ptotic eyelids were corrected with acceptable final lid position. Exposure keratitis, wound infection, eyelid contour abnormality or overcorrection was not observed in any patient. One case had trauma to the periorbital area one month following surgery which resulted in recurrent ptosis and required re‐operation. Another patient with recurrent ptosis at presentation had persistent eyelash ptosis following surgery which required an additional surgery. Good to excellent final postoperative height was achieved in 8 patients (9 eyelids), and 2 cases with mental retardation could achieve good height with conscious active brow elevation. Conclusions: Ptose‐up sling material is a biocompatible, biointegrable, inert material, which results in cosmetically and functionally satisfactory results following surgery of congenital ptosis. Following surgery, patients learn to use their frontalis muscle to achieve satisfactory eyelid height. This can also be achieved in patients with mental retardation if taught to exert conscious effort to activate the frontalis muscle.