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Middle East African Journal of Ophthalmology Middle East African Journal of Ophthalmology
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Year : 2008  |  Volume : 15  |  Issue : 3  |  Page : 117-122

Mersilene mesh brow suspension: A new modified fox's procedure - five years clinical experience

Research Institute of Ophthalmology, Giza, Egypt

Correspondence Address:
Amr Hafez
Magrabi Hospital, 106, Rumaila Building, Al Nahda Street, PO Box: 513, Muscat 112, Sultanate of Oman

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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0974-9233.51986

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Purpose: The aiming was to study the long-term clinical outcome and the merit of the author's modification of the fox's procedure. Methods: Mersilene mesh brow suspension (MMBS) procedure was performed in 50 upper lids with severe blepharoptosis and poor levator function. Results: The improvement in lid height was evaluated by preoperative and postoperative vertical palpebral aperture measurements and ranged from 2 to 6 mm (average 4 mm). The functional and cosmetically accepted results were maintained in 94% of the lids during mean follow-up of 39.4 months. Conclusion: In the present non-comparative study we believe that late Mersilene knot extrusion and forehead granuloma formation can be prevented by the modification adopted by the authors.

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