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:: Volume 24, Issue 1 (Iranian Journal of Ophthalmology 2012) ::
2012, 24(1): 3-10 Back to browse issues page
Frontalis Sling Operation using Silicone Rods in Comparison to Ptose-Up for Congenital Ptosis with Poor Levator Function
Syed Ziaeddin Tabatabaie Dr., Arezou Momeni Dr., Mohammad Taher Rajabi Dr. *, Mohammad Zarei Dr., Ali Izadi Dr., Mohammad Bagher Rajabi Dr.
, mt_rajabi@yahoo.com
Abstract:   (7772 Views)

Purpose : To compare the cosmetic and functional results of frontalis sling procedure using silicone rod with polytetrafluoroethylene (Ptose-up) in congenital ptosis with poor levator function (LF)

Methods : In a prospective randomized study, 90 eyes of 66 patients with congenital ptosis that underwent frontalis suspension surgery [31 patients (18 unilateral, 13 bilateral cases) using a silicone rod and 35 patients (24 unilateral, 11 bilateral cases) using Ptose-up] were included. Follow-up time was 6 months. The preoperative and postoperative medical records and photographs of patients and also their satisfaction were evaluated.

Results : The functional success rate was not significantly different between the two groups (P>0.05), but silicone material extrusion and infection was more frequent (although statistically nonsignificant) in silicone rods group. The mean margin reflex distance (MRD1) at 1, 3, and 6 months was 3.07 mm, 2.90 mm, and 2.61 mm in the silicone rods group, compared to 2.54 mm, 2.37 mm, and 2.37 mm in Ptose-up group. The results were significantly different between the two groups at one and 3 months (P=0.018, 0.012, respectively), but at 6 months the difference was not significant. The patients’ satisfaction with the operation was significantly better in Ptose-up group compared to silicone rods group [42%: good, 45%: moderate, 13% poor and 71%: good, 14%: moderate, and 14%: poor, respectively (P=0.017)].

Conclusion : Ptose-up is an excellent alternative to the silicone rod for the sling procedure, with a good success rate and acceptable complication rates compared to the silicone rod, and better subjective satisfaction of the patients.

 

Iranian Journal of Ophthalmology 201224(1):3-10 © 2012 by the Iranian Society of Ophthalmology
Keywords: Ptosis, Poor Levator Function, Silicone Rod, Ptose-Up
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Type of Study: Original | Subject: General
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Tabatabaie S Z, Momeni A, Rajabi M T, Zarei M, Izadi A, Rajabi M B. Frontalis Sling Operation using Silicone Rods in Comparison to Ptose-Up for Congenital Ptosis with Poor Levator Function. Iranian Journal of Ophthalmology. 2012; 24 (1) :3-10
URL: http://irjo.org/article-1-594-en.html
Volume 24, Issue 1 (Iranian Journal of Ophthalmology 2012) Back to browse issues page
مجله چشم پزشکی ایران Iranian Journal of Ophthalmology
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