Exposure keratopathy following silicone frontalis suspension in adult neuro‐ and myogenic ptosis

Sorge, Arlette J. van; Devogelaere, Thibaut; Sotodeh, M.; Wubbels, René J.; Paridaens, Dion

doi:10.1111/j.1755-3768.2010.01876.x

Cited by 19 publications

(8 citation statements)

References 7 publications

(9 reference statements)

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“…Table 1 shows characteristics of the studies included [ 15 , 29 , 30 , 32 , 34 – 36 , 38 – 41 , 51 ]. The time range of the selected studies was 1990[ 38 ]-2015[ 35 ].…”

Section: Resultsmentioning

confidence: 99%

Suspensory Materials for Surgery of Blepharoptosis: A Systematic Review of Observational Studies

et al. 2016

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BackgroundFrontalis suspension surgery is considered the procedure of choice in cases of blepharoptosis. Among all the materials used in this type of surgery, ophthalmic and plastic surgeons prefer to use autologous Fascia Lata. However, during years, other autogenous and exogenous materials have been introduced.ObjectivesThe aim of this study was therefore that of systematically reviewing the functional results and the rate of complications of different synthetic materials, as compared to autogenous Fascia Lata. The primary objective was to determine the rates of Successful Surgeries (SSs) of these materials. The secondary objective was to assess the onset of complications. The following materials were investigated: Fascia Lata, Mersilene, polytetrafluoroethylene (PTFE) and Silicon.Data Source and MethodsFollowing the Prisma procedure, on January 30th, 2016 we used the following electronic databases to select the studies: MEDLINE and Scopus.ResultsThe search strategy retrieved 48 publications that met the eligibility criteria of the systematic review. All studies were non-comparative. PTFE (n = 5) showed the best rate of SSs among the materials compared (statistically significant). Surgeries performed with autogenous Fascia Lata (n = 19) had a 87% rate of success those performed with Mersilene (n = 12)had 92% and those performed with Silicon (n = 17)88%. PTFE had the best outcome, with 99% success rate. As for complications, surgeries performed with PTFE had a higher rate of suture infections (1.9%) as compared to Fascia Lata, but lower incidence for all other complications.ConclusionsAlthough most studies were good quality cohort studies, the overall quality of this evidence should be regarded as low due to their non-comparative design. Our data suggest that PTFE seems to be the most valid alternative material for frontalis suspension surgery, with low recurrence rates and good cosmetic and functional results.

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“…Table 1 shows characteristics of the studies included [ 15 , 29 , 30 , 32 , 34 – 36 , 38 – 41 , 51 ]. The time range of the selected studies was 1990[ 38 ]-2015[ 35 ].…”

Section: Resultsmentioning

confidence: 99%

Suspensory Materials for Surgery of Blepharoptosis: A Systematic Review of Observational Studies

et al. 2016

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“…The serious complication of exposure keratitis can be developed due to poor Bell's phenomenon postoperatively [7]. van Sorge et al [8] showed the risk and incidence of exposure keratopathy following silicone frontalis suspension in adult ptosis with poor Bell's phenomenon. According to these authors, overall exposure keratopathy occurred in 26%.…”

Section: Discussionmentioning

confidence: 99%

Management of Severe Bilateral Ptosis in a Patient With Midbrain Infarction: A Case Report

et al. 2013

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Ptosis could be caused by oculomotor nerve palsy in the midbrain infarction. Bilateral ptosis has been reported in several reports, which focused on clinical characteristics of midbrain infarction. Little research attention has been paid to the treatment of patients with bilateral ptosis in midbrain infarction. We experienced a case of severe bilateral ptosis occurring after midbrain infarction. The patient could not open her eyes, perform basic activities or achieve effective rehabilitation. Neurogenic ptosis can improved after the underlying cause is treated. However, in this case, bilateral ptosis was not improved after conservative care for 6 months and the patient remained limited in activities of daily living and mobility. Surgical correction of bilateral ptosis was done by the resection of both Muller's muscles. After surgical correction, the bilateral ptosis was much improved and the effect persisted for at least 6 months.

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“…Surgeons have reported a preference for using silicone slings for its flexibility and elasticity. 5,6 Gore-Tex implants have been associated with infection and granuloma formation. [7][8][9] We conducted a retrospective study on patients who had undergone frontalis suspension surgery at the Children's Hospital at Westmead between 2009 and 2014.…”

Section: Outcome Of Frontalis Suspension Surgery In Pediatric Ptosis mentioning

confidence: 99%

Outcome of frontalis suspension surgery in pediatric ptosis

Khialdin¹,

Martin²,

Jones³

et al. 2019

Asian JO

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Purpose: To describe the outcome of pediatric ptosis surgery using frontalis suspension technique. Design: Retrospective study. Methods: All patients with ptosis who underwent frontalis suspension from April 2009 to April 2014 at the Children’s Hospital at Westmead were included. Medical records of patients were reviewed and analyzed. Results: A total of 55 patients (74 primary procedures) were included in the study. Sixty-eight procedures (91.9%) used silicone as frontalis suspension material, three procedures used Gore-Tex, and three procedures used fascia lata. For procedures using silicone, the recurrence rate was 10.29%; 4.41% had infection and 1.47% had exposure keratopathy. All three procedures using Gore-Tex developed postoperative infection. No postoperative complication was documented in all the three procedures using fascia lata. Conclusion: A change in the practice from using banked fascia lata to silicone as frontalis suspension material is seen at the Children’s Hospital at Westmead. The postoperative complications and recurrence rate in procedures using silicone are relatively low. Autologous fascia lata could be considered as an alternative for older children in view of its long-term success rate and fewer complications.

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Exposure keratopathy following silicone frontalis suspension in adult neuro‐ and myogenic ptosis

Cited by 19 publications

References 7 publications

Suspensory Materials for Surgery of Blepharoptosis: A Systematic Review of Observational Studies

Suspensory Materials for Surgery of Blepharoptosis: A Systematic Review of Observational Studies

Management of Severe Bilateral Ptosis in a Patient With Midbrain Infarction: A Case Report

Outcome of frontalis suspension surgery in pediatric ptosis

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