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Silicone rod frontalis suspension surgery helps to increases eyelid height
Ophthal Plast Reconstr Surg. 2009;25(5):361-365.
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In complicated ptosis cases with poor levator function that underwent silicone rod frontalis suspension surgery, the majority of patients achieved a subjectively acceptable result, but some had increased eyelid height and resulting revision, a study found.
"Silicone rod frontalis suspension surgery increases the eyelid height in complicated blepharoptosis patients with minimal eyelid excursion," the authors said. "Because most patients undergoing this procedure have a narrow window for appropriate postoperative eyelid height, a relatively high proportion of patients required revision. Silicone rod frontalis suspension surgery is chosen in these challenging cases for the ease of adjustment."
The retrospective interventional case series examined 51 eyelids of 33 patients who underwent silicone rod frontalis suspension. Patients had ptosis secondary to third cranial nerve palsy, myasthenia gravis, chronic progressive external ophthalmoplegia or oculopharyngeal dystrophy.
The study found that surgery resulted in a significant increase in eyelid height of +2.8 mm (P <.0001), and 20 eyelids (39%) needed revision of the silicone sling, many for eyelid height adjustment.