Frontalis muscle transfer for the treatment of upper eyelid ptosis.

ABSTRACT

The management of severe blepharoptosis is problematic. A variety of surgical approaches do not yield good results especially in the presence of poor levator function. In this report, direct frontalis muscle transfer was used for the treatment of severe blepharoptosis with poor levator function. Twenty-one patients with severe blepharoptosis and poor levator function were operated during the period from 1995 to 1998 using this technique. Excellent and good results were achieved in 8 and 13 patients (38.1% and 61.9%), respectively. Two patients (9.5%) had complications. One was entropion and the other was hematoma, both of which were improved by reoperations. All patients had lagophthalmos postoperatively which subsided one month after surgery without complication. The patients were all satisfied.