A 5-year-old boy presents with Severe ptosis associated with poor levator function. Which of the following will be the treatment?
High-Yield Explanation
Ans. (a) Frontalis Suspension surgery(Ref: Kanski 8/e, p. 45; Parsons 22/e, p. 464; Yanoff 4/e, p. 1273)Brow (frontalis) suspension is used for severe ptosis (> 4 mm) with very poor levator function (< 4 mm) in simple congenital ptosis or occurring due to 3rd nerve palsy, blepharophimosis syndrome and following unsatisfactory previous LPS resection. The tarsal plate is suspended from the frontalis muscle using a sling made of either fascia lata or silicone/prolene