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2014, Cilt 5, Sayı 3, Sayfa(lar) 246-247
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Frontalis Suspension Sling Using Slicone Rods in Chronic Progressive External Ophthalmoplegia
Ayşe Dolar Bilge2, Dilcan Kotan1, Cem Mesci3
1Sakarya Üniversitesi Tıp Fakültesi, Nöroloji, Sakarya, Türkiye
2Erzincan Üniversitesi Tıp Fakültesi, Göz hastalıkları, Erzincan, Türkiye
3İstanbul Medeniyet Üniversitesi Tıp Fakültesi, Göz Hastalıkları, İstanbul, Türkiye
Keywords: ptosis , chronic progressive external ophthalmolplegia, frontalis sling
A 72 year old patient with bilateral ptosis and progressive restricted eye movements was diagnosed as chronic progressive external ophthalmoplegia (CPEO). We performed frontalis suspension surgery with silicone rod as a sling material. The result after twelve month follow up was satisfactory, the visual axis remained open without any complications. Ptosis surgery, is one of the most common operations performed by oculoplastic surgeons. A proper neurologic examination is necessary to diagnose the underlying cause of ptosis. CPEO is a type of mitochondrial myopathy which affects extraocular muscles. Frontalis sling operation is generally performed in patients with severe ptosis and poor levator muscle function. Many autogenous and nonautogenous suspension materials are available with numerous reports of successful correction. Here presented a case of blepharoptosis in CPEO and the surgical result of silicone rod sling of this case.
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