Jornal de Oftalmologia Clínica e Experimental
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Frontalis Suspension Using Autogenous Fascia Lata versus Gore-tex Sheet for Treatment of Congenital Ptosis with Poor Levator Function

Sameh S Mandour, Hatem M Marey, Ghada Z Rajab

Objective: To compare the results of frontalis suspension using autogenous fascia lata versus Gore-tex sheet for treatment of moderate to severe congenital ptosis with poor levator function.
Design: Prospective randomized controlled study
Participants: Sixty eyelids of 47 patients, who attended health service in Menoufia University Hospitals.
Methods: patients were divided into two groups. In group I (30 eyelids), upper eyelid tarsus was suspended to frontalis muscle using autogenous fascia lata. In group II (30 eyelids), upper eyelid tarsus was suspended to frontalis muscle using a ribbon of 0.3 mm Gore-tex sheet. Follow up of eyelid level and reporting postoperative complications and incidence of recurrence were done.
Results: At 24 months postoperative (end of follow up period), there was no statistically significant difference between both groups regarding eyelid level. Three eyelids in group I, and 4 eyelids in group II had under-correction. Gore-tex related complications were detected in 6 eyelids of group II. Donor site complications where detected in 3 cases of group I. There was no significant difference regarding the complications between both groups. The recurrence rate was 10% (3 of 30 eyelids) for group I, and 16.7% (5 of 30 eyelids) for group II. The difference in recurrence rates was statistically insignificant. Conclusion: We conclude that use of Gore-tex sheet in frontalis suspension surgery is comparable to use of autogenous fascia lata with advantage of avoiding donor site complications.