Frontalis Sling Using a Silicone Rod for Ptosis in Third Nerve Palsy: Cosmesis versus Safety
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Purpose: To evaluate the results of the frontalis sling operation using a silicone rod for the correction of ptosis in patientswith third nerve palsy with a focus on corneal safety. Methods: Patients with third nerve palsy who underwent the frontalis sling operation using a silicone rod between 2008 and2019 were included in this study. The medical records of all patients were reviewed, and their clinical characteristics and postoperativeoutcomes were analyzed. In this retrospective, interventional case series, the main outcome measures were eyelidcontour, eyelid height by margin reflex distance, and corneal status. Results: Twenty-four eyes of 18 patients (12 male and six female patients) were included. The mean age at the time of surgerywas 35.1 years (range, 5–64 years). Twelve patients underwent a unilateral ptosis operation, and six patients received abilateral ptosis operation. The mean follow-up period was 32.1 months (range, 2–87 months). Most patients (21 of 24 eyes,88%) showed poor Bell’s phenomenon on preoperative examination. Satisfactory eyelid height and eyelid contour wereachieved in almost all patients (mean postoperative margin reflex distance, +1.2 mm) postoperatively. Although corneal erosionswere detected for several months in eight of 24 eyes after surgery, these findings were well controlled medically withartificial tear eye drops and ointments. Conclusions: Frontalis sling surgery using a silicone rod can safely and effectively correct ptosis without severe corneal complicationsin patients with third nerve palsy. Our study outlines a new method to define the postoperative safety outcome byspecifically focusing on categorized corneal status.
Abstract
Purpose: To evaluate the results of the frontalis sling operation using a silicone rod for the correction of ptosis in patientswith third nerve palsy with a focus on corneal safety. Methods: Patients with third nerve palsy who underwent the frontalis sling operation using a silicone rod between 2008 and2019 were included in this study. The medical records of all patients were reviewed, and their clinical characteristics and postoperativeoutcomes were analyzed. In this retrospective, interventional case series, the main outcome measures were eyelidcontour, eyelid height by margin reflex distance, and corneal status. Results: Twenty-four eyes of 18 patients (12 male and six female patients) were included. The mean age at the time of surgerywas 35.1 years (range, 5–64 years). Twelve patients underwent a unilateral ptosis operation, and six patients received abilateral ptosis operation. The mean follow-up period was 32.1 months (range, 2–87 months). Most patients (21 of 24 eyes,88%) showed poor Bell’s phenomenon on preoperative examination. Satisfactory eyelid height and eyelid contour wereachieved in almost all patients (mean postoperative margin reflex distance, +1.2 mm) postoperatively. Although corneal erosionswere detected for several months in eight of 24 eyes after surgery, these findings were well controlled medically withartificial tear eye drops and ointments. Conclusions: Frontalis sling surgery using a silicone rod can safely and effectively correct ptosis without severe corneal complicationsin patients with third nerve palsy. Our study outlines a new method to define the postoperative safety outcome byspecifically focusing on categorized corneal status.
참고문헌 (30)
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