Mersilene Mesh Vs Autogenous Fascia Lata for Upper Lid Sling Procedure

PURPOSE: To compare mersilene mesh and autogenous fascia lata for upper lid sling procedure in the management of ptosis with poor levator function. METHODS: This randomized clinical trial included 9 patients with unilateral and 11 patients with bilateral congenital ptosis and poor levator function. All subjects underwent upper lid sling procedure with a random choice of two different materials: mersilene mesh in 16 eyelids and autogenous fascia lata in 15 eyelids. RESULTS: Overall, 31 eyelids underwent the upper lid sling procedure. There was no difference between the two groups in terms of final functional (lid fissure height stability) and cosmetic (lid margin contour) results. Dermatochalasis was more common in the fascia lata group (10 eyes) compared to the mersilene mesh group (2 eyes). Mersilene mesh extrusion occurred in two eyelids. CONCLUSION: Mersilene mesh has favorable long-term functional results and a low rate of complications. This material may be considered as an alternative to autogenous fascia lata for frontalis suspension surgery.