Congenital ptosis: Longterm results using stored fascia lata

Abstract

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 postion 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.