The Effect of Perlane(R) Injection on Superior Sulcus Deformity

ABSTRACT

PURPOSE: This study evauated the effect of Perlane(R) injection into the subcutaneous tissue on six patients with superior sulcus deformity. METHODS: From August 2001 to September 2003, Perlane(R) was injected on the six eye lids of six patients with superior sulcus deformity caused by orbital varix, blow-out fracture, or anophthalmos. RESULTS: Superior sulcus deformity of all six patients was completely corrected with Perlane(R), bilateral symmetry was achieved for all six. Ocular pain and superior sulcus deformity disappeared after Perlane(R) injection in two patients with orbital varices. Ptosis developed temporarily in one patient at two weeks after injection, was resolved spontaneously at 8 months. The average duration of correction was 12 months. CONCLUSIONS: Although Perlane(R) is not a permanent material, the Perlane(R) injection is an effective and easy way to correct superior sulcus deformity especially for those who do not want to undergo surgery or have the deformity undercorrected. A larger series of patients and longer follow-up might be necessary to obtain further information on Perlane(R) injection for patients with superior sulcus deformity caused by various etiologies.