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Frontalis sling procedure for ocular myasthenia gravis

Authors Asamura, Kakizaki H, Enjo, Hashimoto, Isogai

Received 6 February 2012

Accepted for publication 9 March 2012

Published 12 April 2012 Volume 2012:6 Pages 575—577

DOI https://doi.org/10.2147/OPTH.S30612

Review by Single-blind

Peer reviewer comments 5


Shinichi Asamura1, Hirohiko Kakizaki2, Mitsuhiro Enjyo1, Takahiro Hashimoto1, Noritaka Isogai1
1Department of Plastic and Reconstructive Surgery, Kinki University School of Medicine, Osakasayama, Osaka, Japan; 2Department of Ophthalmology, Aichi Medical University, Nagakute, Aichi Japan

Abstract: A 39-year-old woman was diagnosed with myasthenia gravis when she was 8 years old. Although many treatments – such as cholinesterase inhibitors and steroids – had been given to the patient, her condition did not improve sufficiently. As she demonstrated bilateral 3 mm levator function without any eye movement disturbances, bilateral frontalis sling procedures were performed with an autologous fascia lata. One year after the operation, the operated upper eyelids showed symmetrically appropriate heights with good functional outcome. A sling procedure with an autologous fascia lata was suitable for correcting poor levator function of an ocular myasthenia gravis case.

Keywords: ocular myasthenia gravis, ptosis, frontalis sling

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