Frontalis Suspension Using a Silicone Rod in Blepharoptosis Patients with Poor Ocular Motility.

Choi, Young Joo; Kim, Yoon Duck

doi:2008.49.4.548

J Korean Ophthalmol Soc > Volume 49(4); 2008 > Article

Original Article

Journal of the Korean Ophthalmological Society 2008;49(4):548-554.
DOI: https://doi.org/10.3341/jkos.2008.49.4.548 Published online April 15, 2008.

Frontalis Suspension Using a Silicone Rod in Blepharoptosis Patients with Poor Ocular Motility.

Young Joo Choi, Yoon Duck Kim

¹Department of Ophthalmology, Ulsan University School of Medicine, Ulsan University Hospital, Ulsan, Korea.
²Department of Ophthalmology, Sungkyunkwan University School of Medicine, Samsung Medical Center, Seoul, Korea. ydkimoph@skku.edu

안구운동장애를 동반한 눈꺼풀처짐 환자에서 실리콘줄을 이용한 이마근걸기술

최영주¹ㆍ김윤덕²

Abstract

PURPOSE
To determine the efficacy of frontalis sling operation with silicone rods in patients with compromised corneal protective mechanisms. METHODS: The authors retrospectively studied 6 consecutive patients (7 eyelids) with severe blepharoptosis with poor ocular motility who had undergone frontalis sling operations using silicone rods. RESULTS: Preoperative diagnoses included third nerve palsy in 4 patients, double elevator palsy in 1 patient, and suspicious oculopharyngeal muscular dystrophy in 1 patient. With a mean follow up of 27.7 months, a good final lid height was achieved in all 7 eyelids. Mild exposure keratopathy occurred postoperatively in 3 patients. During the follow-up period, no other significant complications, such as extrusion of the sling or infection, occurred. CONCLUSIONS: Silicone rods are effective and safe materials for use in frontalis suspension in treating blepharoptosis in patients with inadequate or absent Bell's phenomenon, resulting in poor eye protective mechanisms associated with an increased incidence of corneal exposure.

Key Words: Absent Bell's phenomenon;Blepharoptosis;Frontalis sling;Silicone rod