Transconjunctival frontalis suspension: A clinical evaluation

Purpose: To determine the effectiveness of transconjunctival frontalis susp ension in patients with blepharoptosis and poor levator function (eyelid ex cursion less then 5 mm). Methods: The medical records of 29 patients (50 ptotic eyelids) were review ed. Results: Four patients (eight eyelids) had blepharophimosis syndrome, ten p atients (27 eyelids) had congenital ptosis, seven patients (14 eyelids) had myogenic ptosis, and one patient tone eyelid) had neurogenic ptosis. Surgi cal results were good and complications were minimal during follow-up inter vals ranging from six months to seven years. Conclusions: Transconjunctival frontalis suspension is technically simpler than traditional external frontalis suspension and yields satisfactory func tional and cosmetic results in patients with poor levator function.