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Br J Ophthalmol 2004;88:361-364 doi:10.1136/bjo.2002.009951
  • Clinical science
    • Scientific reports

Functional results and complications of Mersilene mesh use for frontalis suspension ptosis surgery

  1. P Mehta,
  2. P Patel,
  3. J M Olver
  1. Western Eye Hospital, Marylebone Road, London NW1 5YE, UK
  1. Correspondence to: Miss Jane M Olver Oculoplastic Service, Western Eye Hospital, Marylebone Road, London NW1 5YE, UK; janeolveraol.com
  • Accepted 10 March 2003

Abstract

Aims: To assess the functional results and complications of Mersilene (polyester) mesh frontalis sling suspension to correct poor levator function ptosis.

Methods: Retrospective case series. 32 eyelids of 20 patients (12 children and eight adults).

Results: Follow up 1–69 months (mean 32). Children: eight patients had bilateral and four unilateral surgery (20 eyelids). Good long term functional results were achieved in 73% (8/11 children) and 77% (14/18) eyelids. Two children had early postoperative wound infection requiring removal of mesh in one; the other was lost to follow up following medical treatment. Adults: four patients had bilateral and four unilateral surgery (12 eyelids). Good long term functional results were achieved in 75% (6/8 patients, 9/12 eyelids). One postoperative wound infection and one mesh exposure were treated definitively by surgical excision of mesh.

Conclusion: Mersilene mesh provides good functional results but up to 20% of patients have early soft tissue complications. Other materials such as monofilament suture or autogenous fascia lata should be considered.

Footnotes

  • This paper was presented at the inaugural meeting of the British Oculoplastic Surgery Society, Birmingham, UK, May 2001.

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