Might be interesting article

February 18, 2004

I saw this summary of an article on PubMed, thought members of the group

might like to know of it.

I would have thought that obtaining a copy of the article would be possible

from a medical library or health care providers.

Shireen

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J Pediatr Ophthalmol Strabismus. 2003 Jul-Aug;40(4):213-6. Related

Articles, Links

Comparison of cosmetic results in frontalis sling operations: the eyelid

crease incision versus the supralash stab incision.

Yagci A, Egrilmez S.

Department of Ophthalmology, Ege University, School of Medicine, Izmir,

Turkey.

PURPOSE: In addition to ptosis, the lack of eyelid crease is one of the main

cosmetic problems of patients with poor levator function. In this study, we

aimed to evaluate the effect of the incision site on ptosis correction and

eyelid crease formation in frontalis sling operations. MATERIALS AND

METHODS: Photographs and charts of 27 patients (45 eyelids) who underwent

frontalis sling operations were retrospectively reviewed. All patients had

congenital ptosis with poor levator function ranging from 0 to 4 mm. In

group I (15 eyelids), 3 supralash eyelid skin incisions were performed and

the sling material was threaded along the tarsal surface. In group 11 (30

eyelids), the eyelid crease approach was used with the suturing of the sling

material directly to the tarsus. RESULTS: Although lid contour and lid

crease symmetry were good in 46.6% of the cases in group I, eyelid crease

formation was not satisfactory in any of the cases. Lid contour and lid

crease symmetry were good in 76.6% of the cases in group II. CONCLUSION: Our

results indicated that the eyelid crease approach provided better functional

and cosmetic results than did the supralash stab incision in frontalis sling

operations. The passage of the sling material behind the orbital septum by

direct visualization in the eyelid crease approach is one of the main

factors affecting the surgical success of the frontalis sling operation.

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