Results of Frontalis Suspension Surgery in Eyes with Poor Levator Muscle Function

Aim: To evaluate the results of frontal suspension surgery with\udautologous fascia lata or silicon rod.\udMethods: We retrospectively evaluated the results and the\udcomplications of frontalis suspension surgery performed in patients\udwith levator muscle function ≤5 mm, who presented with the\udcomplaint of ptosis. In patients operated unilaterally, the success\udof the surgery was graded according the difference between\udeyelid heights: a difference of <1 mm was considered successful,\ud1-2 mm - satisfactory, and a difference of >2 mm was accepted as\udunsuccessful. In those who were operated bilaterally, the success\udof the surgery was graded according the upper eyelid level: an\udeyelid level 0-3 mm below the limbus was recorded as successful,\ud>3 mm below the limbus with an open optic axis - satisfactory, and\udoccluded axis was considered unsuccessful.\udResults: Seventeen eyes of 14 patients enrolled in the study.\udSilicon rod was used in 9 eyes and autogenous fascia lata was used\udin 8 eyes. Surgical outcome was recorded as successful in 9 eyes,\udas satisfactory in 4 eyes and as unsuccessful in 4 eyes. In eyes with\udunsuccessful outcome, revision surgery was performed within 10\uddays after surgery. Punctate keratopathy (5 eyes), lagophthalmos\ud(1 eye), mild undercorrection in the temporal side of the eyelid\ud(1 eye) and severe upper eyelid edema (1 eye) were recorded as\udcomplications. One patient who was operated with autologous\udfascia lata complained of leg pain in donor site and, in one patient,\udincision dehiscence needed to be repaired.\udConclusion: Surgical success after primary and revision surgeries\udwere rated as successful in 13 of 17 eyes (76.47%) and as\udsatisfactory in 4 of 17 eyes (23.53%). (The Medical Bulletin of\udHaseki 2015; 53:36-40