Frontalis suspension with polytetrafluorethylene for the treatment of blepharoptosis

To evaluate the functional results and complications of the use of expanded polytetrafluoroethylene in frontalis suspension surgery for the treatment of blepharoptosis. Frontalis suspension procedure with polytetrafluoroethylene was performed between 2003 and 2007 on 23 patients (36 eyes) with bleph...

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Bibliographic Details
Published in:Arquivos brasileiros de oftalmologia 2009-01, Vol.72 (1), p.79-83
Main Authors: Silvério, Juliana, Sugano, Débora Mayumi, Lucci, Lúcia Miriam Dumont, Rehder, José Ricardo Carvalho Lima
Format: Article
Language:Portuguese
Subjects:
Adolescent
Adult
Blepharoptosis - etiology
Blepharoptosis - surgery
Child
Child, Preschool
Eyelids - surgery
Female
Follow-Up Studies
Humans
Male
Middle Aged
Oculomotor Muscles - surgery
Patient Satisfaction
Polytetrafluoroethylene - therapeutic use
Treatment Outcome
Young Adult
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Summary:To evaluate the functional results and complications of the use of expanded polytetrafluoroethylene in frontalis suspension surgery for the treatment of blepharoptosis. Frontalis suspension procedure with polytetrafluoroethylene was performed between 2003 and 2007 on 23 patients (36 eyes) with blepharoptosis. An average follow-up time was 15.8 months (range, 3 to 36). Surgical technique used was described by Fox. The causes of blepharoptosis found were: congenital in 20 patients (86.95%), blepharophimosis in 2 (8.69%) and traumatic in 1 (4.35%). At the first week of postoperatory 6 (26.08%) patients related palpebral asymmetry, 4 (17.39%) noticed local edema, 3 (13.04%) presented granulomas and 1 (4.35%) presented facial cellulitis on the ipsilateral frontal region. After 3 months of follow-up 3 (13.04%) patients related palpebral asymmetry and 1 (4.35%) persisted the granuloma. Polytetrafluoroethylene - Model CV3, 6.0 (Gore-tex(R), W.L. Gore & Associates Inc, Flagstaff, AZ, EUA) is an adequate material with good functional results (86.9%), relatively few complications (4.35%) and insatisfaction (13.4%) that could be an alternative for fascia lata in the surgery of frontalis suspension for the treatment of blepharoptosis.
ISSN:1678-2925
DOI:10.1590/S0004-27492009000100016