Long-Term Results of Frontal Lobe Suspension in Children with Congenital Dystrophic Ptosis

ABSTRACT Long-term results achieved by our own operative technique in children with congeni-tal dystrophic ptosis, with frontal muscle lobe shaping with or without shaping of corru-gator muscle lobe attached to the tarsal plate, are presented. Data on 146 patients withcongenital dystrophic ptosis operated on during the 1984–1998 period at Zagreb Uni-versity Hospital Center were retrospectively analyzed. Postoperative success was defi-ned as a situation with eyes open in which 1) upper eyelid covers the cornea at 12 o’clockposition by 1–2 mm; 2) there is a good contour of the eyelid margin; 3) there is no lago-phthalmos; and 4) there is symmetry with the other eye. Immediate re-operation due toundercorrection was required in 26 of 146 (18%) patients. Upon re-operation, 133 (91%)patients met the criteria for successful outcome at 6 months, 124 (85%) at one year, and121 (83%) at 5 years. Correction of congenital dystrophic ptosis using a shaped fron-tal/corrugator lobe is an efficient and safe procedure ensuring long-lasting success.