Abstract

Purpose To evaluate the functional and cosmetic outcomes after using Filamentous knitted polyester fabric to correct upper and lower lid retraction in Graves’ orbitopathy
Methods ;Prospective interventional study done on 14 eyes. This surgical procedure introduces Novel filamentous knitted polyester fabric over the lid as spacer material to correct upper and lower lid retraction in GO. LPS, mullers muscle recessed from the tarsal plate and create a semilunar gap where FKPF is fixed to prevent LPS reattachment and lid lengthening.
Results ;Pre op MRD -1 7±1.34 mm to 3.8±0.75mm. Pre-op scleral show 2.8 ±0.50 to post op nil.MRD -2 pre op 7±1.50 to 4.5±0.50mm.Pre-op PFH 16±1.50 to post-op 10.50±0.75mm.none of patients had infection and extrusion
Conclusion; FKPF is inert, non-reacting,tissue friendly. It is cost effective and easily available in our hospital setup.ALL lid retractions are corrected, cosmetically anatomically, and physiologically.All the patients are highly satisfied