Surgical Treatment of Severe Degree of Ptosis of the Upper Eyelid Using a Fronto-tarsal Sling of Biocompatible PVC
Abstract
Ptosis means the anomalous decrease of the upper eyelid. Depending on the cause of the condition and especially according to results of a clinical finding we can perform various surgical procedures.
Hinge lid to brow lift mechanism is designed for the toughest conditions, when the levator function is worse than 4 mm. The authors report the results of operations for ptosis modified fronto-tarsal sling with the tube of biocompatible PVC.
In half of the cases (2 of 4 eyes) had a transient postoperative lagophthalmos, which in one case was solved pasting humid chamber. None exposured keratopathy.
In one case after 9 months due to extrusion the implant had to be extracted. Front-tarsal sling with tube of biocompatible PVC is an effective and relatively safe technique in cases of severe degree of ptosis of the upper eyelid.
The material appears to be well tolerated by the surrounding tissue.