SURGICAL-CORRECTION OF PTOSIS IN OCULAR FIBROSIS SYNDROME

The surgical management of ptosis is reported in seven patients suffer ing from the ocular fibrosis syndrome. Satisfactory results were obtai ned with bilateral Crawford type brow suspension with autologous fasci a Lata in sin patients and bilateral Fox type brow suspension with sto red fascia lata in a young child. As patients with ocular fibrosis syn drome usually exhibit little or no Bell's phenomenon, corneal exposure can become a problem after brow suspension. It was recommended that t he lids are left just closed on the operating table at the end of the operation. None of the patients required a subsequent procedure to low er an overcorrection of the ptosis. The routine prescription of ocular lubricants for 2 months after ptosis correction is advocated. Urgent brow suspension in young children using nonautologous materials should only be considered if there is a risk of amblyopia.