2-0 Prolene Brow Suspension for Paediatric Ptosis: A Retrospective Case Series of 37 Eyes

ABSTRACTAim: To assess the efficacy of 2-0 prolene brow suspension surgery in paediatric ptosis with poor levator function.Materials and Methods: Retrospective review of cases that underwent 2-0 Prolene brow suspension surgery between 1997–2007. Primary surgical success was defined as post-operative lid height clear of the pupil and asymmetry of 2 mm or less.Results: Twenty-seven patients (37 lids) were included in the study. The mean follow-up period was 71 months (range 2–173). There were 10 recurrences giving an overall success rate of 72.9%. The complication rate was 5.4%.Conclusions: Prolene brow suspension surgery in most patients has a long-lasting effect with a low complication rate. Success rates are comparable to other non-autogenous materials. This may obviate the need for a more definitive secondary procedure in the future.