Abstract

Study Design and Purpose:
Less reported complications of congenital ptosis repair include extrusion of the suspensory material. We present a surgical technique used in 5 cases, all who had extrusion of their synthetic brow suspension material and had subsequent successful surgery with this modified technique.
Method – Surgical technique:
All surgery was performed by one Consultant Oculoplastic surgeon at the Birmingham Midland Eye Centre, United Kingdom. The main modification is the use of prolene as the suspension material as well as extra 6.0 vicryl sutures to anchor the suspension more securely.
Results:
A retrospective analysis of the patients' case notes was performed. None of the patients needed further revision surgery and there were no reported complications, including extrusion or granuloma formation.
Conclusion:
Prolene proved beneficial in these cases and in particular for our more challenging case.