Background: To report three cases of severe complications after frontalis suspension using autogenous fascia lata
Cases: All three cases showed lagophthalmos and eyelash inversion after frontalis suspension using autogenous fascia lata. During surgery, we found that the tarsus was raised upwards and distorted by the fascia lata which had contracted and adhered to the surrounding tissue. We excised the adhesion of the fascia lata. In case1, we transplanted the fat and perifascial areolar tissue under the cicatrized orbicularis. In cases 2 and 3, we flattened the distorted tarsus with nylon mattress sutures. In case2, we added a frontalis suspension using Gore-Tex^® one year later. In case3, we fixed Gore-Tex^® between the tarsus and the released fascia lata.
Conclusions: Lagophthalmos and eyelash inversion due to contraction of the fascia lata may be complications of frontalis suspension using the fascia lata. Prolonged follow-up after the surgery is essential, and if such complications occur appropriate treatment is required.
Nippon Ganka Gakkai Zasshi (J Jpn Ophthalmol Soc) 117: 132-138, 2013.