PT  - JOURNAL ARTICLE
AU  - P Mehta
AU  - P Patel
AU  - J M Olver
TI  - Functional results and complications of Mersilene mesh use for frontalis suspension ptosis surgery
AID  - 10.1136/bjo.2002.009951
DP  - 2004 Mar 01
TA  - British Journal of Ophthalmology
PG  - 361--364
VI  - 88
IP  - 3
4099  - http://bjo.bmj.com/content/88/3/361.short
4100  - http://bjo.bmj.com/content/88/3/361.full
SO  - Br J Ophthalmol2004 Mar 01; 88
AB  - 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.