AIM: To investigate the long-term clinical effect of modified frontalis tendon flap suspension in the treatment of severe blepharoptosis in children.

METHODS: A total of 83 cases(114 eyes)of modified frontalis tendon flap suspension for children severe blepharoptosis correction were analyzed between January 2009 to December 2011 for the efficacy and complications of this surgery. Follow-up observation for 5a.

RESULTS: In the fifth year after operation, there were 84 eyes(73.7%)with correction and satisfactory correction, 30 eyes(26.3%)were corrected, and the operation was satisfactory. Postoperative complications included 4 eyes(3.5%)of inverted eyelashes, of which 3 eyes were given suture traction at 1/3 interior of the gray line, 1wk later inverted eyelashes disappeared, 1 eye of secondary surgery. Conjunctival prolapse was in 2 eyes(1.8%), the application of corticosteroids eye drops, pressure bandage were used for 1wk and conjunctival prolapse disappeared. There was no recurrence of keratitis, eyelid ectropion, septum separation, eyelid angular deformity, hematoma formation, infection and other complications. Postoperative retrograde retrogression and lateral eyelid folds disappear were the most common problems of long-term follow-up.

CONCLUSION: The study shows that this surgical technique is a satisfied method to treat severe blepharoptosis and predictable with few complications.