Congenital ptosis: longterm results using stored fascia lata.

PURPOSE

Frontalis brow suspension, using stored donor fascia lata, allows early correction of severe congenital ptosis. We report longterm results of 18 patients, (29 ptotic eyelids).

METHODS

Patient records were retrospectively reviewed. Lid position at the first and subsequent post-operative visits was recorded, as was the time when ptosis recurred.

RESULTS

The mean follow-up period was 42.9 months (range 7 to 84 months). All patients achieved a Good initial result. Partial ptosis recurrence was noted in 7 patients (10 eyelids), within 18 months of surgery. One of these patients required reoperation. Lid position did not change after the first 18 months. No late failures were encountered.

CONCLUSION

Longterm lid position is remarkably stable after early surgical correction of severe congenital ptosis using stored fascia lata.