Ptosis correction with frontalis sling surgery in a patient with bilateral chronic progressive external ophthalmoplegia : a case report

• yashi bansal

Abstract

Chronic Progressive external ophthalmoplegia commonly manifests as bilateral ptosis and external ophthalmoplegia which is quite disabling for the patient. The complication with conventional ptosis surgery is exposure keratitis due to induced lagophthalmos. This is a case report of 50 year old male who presented with complain of drooping of both upper lids since 10 years. On examination he had bilateral severe ptosis with absent levator function and poor Bell`s phenomenon. A diagnosis of chronic progressive external ophthalmoplegia was made after a detailed history and various ocular and systemic investigations. Bilateral frontalis sling surgery using silicone slings was performed at a gap of two weeks. The results of surgery were satisfactory. Frontalis sling surgery can be a safe and effective option for ptosis correction in patients with chronic progressive external ophthalmoplegia. The complication of exposure keratitis can be largely prevented by slight undercorrection.

Keywords

Ptosis, ophthalmoplegia, frontalis, exposure keratitis, bell`s phenomenon