Frontalis Linkage Without Intraoperative Eyelid Elevation for the Management of Myopathic Ptosis

Purpose: To report the effect of frontalis linkage without intraoperative eyelid elevation for the management of myopathic ptosis. Methods: Retrospective analysis of 21 (42 eyelids) myopathic patients with bilateral ptosis who were operated between 1999 and 2017. All patients had orbicularis weakness and poor or absent Bell’s phenomenon. Surgery consisted of using an autogenous fascia sling to link the tarsal plate to the frontalis muscle without any degree of intraoperative eyelid elevation. The main outcome measures were margin reflex distance, brow height and degree of brow excursion and degree of lagophthalmos, and exposure keratitis. Results: After surgery, there were significant changes (p
Source: Ophthalmic Plastic and Reconstructive Surgery - Category: Opthalmology Tags: Original Investigations Source Type: research