World Journal of
Pharmaceutical and Life Sciences

THE USE OF DCR SILICON STENTS TO CORRECT PTOSIS WITH POOR LEVATOR ACTION DURING FRONTALIS SLING SURGERY

*Dr. Muthanna Abdul Khudhur, Nada Mohammed Fahad and Ghadah Hashim Hasan

ABSTRACT

When levator function is poor or absent, frontalis sling is one of the preferred methods of treatment of ptosis. Various materials have been used for frontalis slings with varying results. The current retrospective study was performed in Al-Karama teaching hospital-Baghdad / Iraq during the period from 2014 to 2018, and aimed to find an effective, easily available and lasting frontalis sling material with minimal complications. DCR Silicone stents were used for brow suspension in cases of ptosis with poor levator action (less than 5 mm) in the form of a single rhomboid like in FOX method with slight modification. Retrospectively all the records of these patients were retrieved and the surgical results studied and analyzed. Mean follow up period was 2.6 years. Good long term functional results (assessed in terms of eyelid height, skin crease depth, eyelid contour and patient satisfaction) and achieved in 33 eyelids [90%]. Under correction was noticed in 3 eyelids [8%]. Re-surgery was done for these patients and all of them improved well. Lagophthalmos and mild corneal exposure were noticed in 6 eyelids which improved after the use of artificial tear eye drops and ointments. It can be concluded from this study that Silicone DCR stents tube is good alternative to AFL as a frontalis sling material as its functional results (90%) almost match that of AFL. In addition it has lesser complications compared to many other synthetic sling materials available. Compared to AFL, it has the advantage of avoiding second incision in the leg and can be done under local anesthesia.

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