July 2019
Volume 60, Issue 9
Open Access
ARVO Annual Meeting Abstract  |   July 2019
Correction of recurrent pediatric ptosis with poor levator function: A modified pentagon frontalis suspension
Author Affiliations & Notes
  • Jingjing Jiang
    Department of Ophthalmology, Beijing Children�s Hospital, Beijing, China
  • Li Li
    Department of Ophthalmology, Beijing Children�s Hospital, Beijing, China
  • Footnotes
    Commercial Relationships   Jingjing Jiang, None; Li Li, None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science July 2019, Vol.60, 6232. doi:https://doi.org/
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      Jingjing Jiang, Li Li; Correction of recurrent pediatric ptosis with poor levator function: A modified pentagon frontalis suspension. Invest. Ophthalmol. Vis. Sci. 2019;60(9):6232. doi: https://doi.org/.

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Abstract

Purpose : The aim of this study was to assess the efficacy of a modified pentagon frontalis suspension for recurrent pediatric ptosis with poor levator function.

Methods : Retrospective study review of 13 patients (17 eyelid procedures) affected by recurrent severe ptosis who underwent frontalis suspension with modified pentagon frontalis suspension from 2015 to 2018. We use a pentagon (double asymmetrical rhomboid) Gore-tex sling from temporal and nasal side to suspend.

Results : The postoperative outcome includes good results in 10 (76.9%) patients, fair results in 2 (15.4%) patients, and poor results in 1 (7.7%) patient. Ptosis recurred in 7.7% (1/13) of patients. Complications include incision dehiscence (n=1) and minor wound infection (n=1).

Conclusions : After the failure of correction of severe ptosis use frontalis muscle flap in children, the repair of surgery is difficult because of the scar adhesion, poor levator muscle function and hard to reuse frontalis muscle flap. The modified pentagon frontalis suspension is simple and minimally invasive, and effective technique for children with severe ptosis recurrence.

This abstract was presented at the 2019 ARVO Annual Meeting, held in Vancouver, Canada, April 28 - May 2, 2019.

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