DOI: 10.36347/sjams.2021.v09i03.010

Pages: 351-355

Introduction: Blepharoptosis or drooping of the upper eyelid is a common ophthalmic problem found in all age groups. It has multiple causes. Harvesting fascia lata was reported to cause minimal or no postoperative morbidity though complications can arise when a large area of fascia lata is removed. Very few complications related to harvesting fascia lata for ptosis surgery have been reported. Problems with postoperative infections and haematomas are cited. Aim of the study: To assess the post-operative complications after fascia lata brow suspension surgery for blepharoptosis. Material & Methods: This prospective observational study was conducted on 30 consecutive patients of ≤ 4 mm ptosis with poor LPS function in the dept. of Oculoplasty, NIO & H, Dhaka during the period of January 2009 to December 2009. Patients were surgically treated with frontalis brow suspension with harvested Fascia lata according to the following exclusion and inclusion criteria. Data were analyzed by appropriate tests. Sampling technique was non-randomized and purposive. Study patients were explained in details about the disease process, benefits of evaluation, methods and risks of evaluation techniques and then written consent were taken before conducting the study maintaining the principles of Helsinki declaration. Results: Mean age was 21.53 ± 10.27 (SD) years with age ranged from 5 years to 45 years. Out of 30 cases, 17 (56.7%) were male and 13 (43.3%) were female. 19 (63.3%) cases were congenital ptosis, 05 (16.7%) cases were Blepharophimosis, 3 (10%) cases were third nerve palsy and 3 (10%) cases were Chronic progressive external ophthalmoplegia (CPEO). 03 (10%) cases developed haematoma formation, 01 (3.33%) case developed muscle herniation, 05 (16.67%) cases developed disturbance in walking and limping, 01 (3.33%) case developed wound infection and 02 (6.67%) cases developed ugly scar. Conclusion: The current study showed that frontalis brow suspension surgery with harvested fascia