Mersilene mesh as an alternative to autogenous fascia lata in brow suspension

Purpose: To evaluate the outcome and complications of brow suspension surge ry for ptosis repair performed with Mersilene mesh as the suspensory materi al. Methods: A retrospective review was undertaken of all patients undergoing M ersilene mesh brow suspension surgery during a 9-year period. All patients had under.-one the same surgical procedure performed by the same surgeon. P reoperative and postoperative palpebral aperture heights were recorded, and the results were analyzed to provide a mean change in palpebral aperture h eight. The case records of patients with a poor response to surgery were ex amined carefully, and possible risk factors for a poor outcome were identif ied. Results: The mean (95%, confidence interval) increase in palpebral aperture height was 1.8 mm (1.2-2.4 mm). Factors associated with a poorer outcome w ere previous ptosis surgery and Marcus Gunn jaw-winking syndrome. Conclusions: Mersilene mesh has advantages over other materials for use as a suspensory material in brow suspension surgery, and is associated with a good outcome and low complication rate.