EVALUATION OF FRONTALIS SLING USING AUTOLOGOUS FASCIA LATA VERSUS POLYTETRAFLUOROETHYLENE FOR CORRECTION OF BLEPHAROPTOSIS WITH POOR LEVATOR FUNCTION

Sherif Hamdeno Youssif Msc., Ahmed Taha Sayed MD., Mohamed Altaher Abdel-Wahab MD.*, Ahmed Maged Elmofty MD. and Mahmoud Abdel-Fatah Nasef MD.

ABSTRACT

Objective: To compare the results of frontalis suspension using autogenous fascia lata versus Gore-tex suture material for treatment of moderate to severe congenital ptosis with poor levator function. Design: Prospective randomized controlled study, Participants: forty eyelids of 25 patients, who attended Al-Azhar University Hospitals. Methods: patients were divided into two groups. In group Group A: included 20 eyelids in 13 patients corrected by frontalis sling using autologous fascia lata. In Group B: included 20 eyelids in 12 patients, corrected by frontalis sling using polytetrafluoroethylene suture material. Results: At 12 months postoperative (end of follow up period), there was no significant difference regarding MRD I, PFW, cosmetic results and complication rate in both groups. Longer operative time was reported in group A because of the time consumed in harvesting fascia lata from the donor site. Conclusion: We conclude that use of Gore-tex suture material in frontalis suspension surgery is comparable to use of autogenous fascia lata with advantage of avoiding donor site complications.

Keywords: To compare the results of frontalis autogenous complications.