Treatment of Severe Ptosis by Conjoint Fascial Sheath Suspension

OBJECTIVE: To explore the role of conjoint fascial sheath (CFS) suspension in the treatment of severe ptosis. METHODS: A total of 110 patients with severe ptosis who were admitted to our hospital from May 2018 to December 2020 were included. Fifty-seven patients treated with frontalis suspension were assigned into group A, and the remaining 53 patients treated with CFS suspension were assigned into group B. The curative effect, ocular surface alterations, complications, and satisfaction in the two groups were compared. RESULTS: Patients in group B suffered from severe upper eyelid retraction and lid lag than those in group A, as well as more limited range of motion (ROM) (P < 0.05). The curative effect and patient satisfaction in group B were higher than those in group A (P < 0.05). Postsurgical complications in group B were fewer than those in group A (P < 0.05). CONCLUSION: CFS suspension is effective in the treatment of severe ptosis.