The impact of silicone frontalis suspension with ptosis probe R for the correction of congential ptosis on the Asian eyelids in Taiwan

To evaluate the basic technique of Ptosis probe R and the impact of ptosis repair by silicone rod frontalis sling on the Asian eyelid. A retrospective interventional study including 30 patients (49 eyelids) who underwent silicone rod frontalis suspension by the same surgeon between 2005 and 2008. Cosmetic outcomes, marginal reflex distance (MRD), chin-up head posture and recurrence rate were evaluated. In all patients, MRD increased an average of 1.2 ± 1.5 mm after the operation (P < 0.05). The score of cosmetic outcomes was 0.6 ± 0.4.(the most of the operated eyelids achieved to good-to-excellent final lid height). The rate of chin-up head posture deceased from 33.3% to 6.6% (P < 0.05). Transient punctate keratopathy without corneal infection occurred postoperatively in 9 (18%) of 49 eyes. Extrusion of the sling node with or without infection occurred in 2 forehead. With a mean follow-up of 20.73 months (range: 6-41 months), no recurrence of the ptosis was found. Silicone rods is an effective material in frontalis suspension for the treatment of severe ptosis with poor levator function. It may increase the MRD of operated eyelid and decreased the rate of chi-up head posture. The procedure with Ptosis probe R is easy, fast, and leads to less tissue trauma on the Asian eyelids.[Life Science Journal. 2010; 7(2): 19 - 24] (ISSN: 1097 - 8135).