Comparison of Triangular Technique, Double Triangular Technique and Pentagonal Technique of Frontalis Sling Surgery in Ptosis Correction

Purpose: To compare Triangular technique, Double Triangular technique and Pentagonal technique of Frontalis Sling surgery in ptosis correction in congenital ptosis patients. Methods: Cases with bilateral congenital simple ptosis with poor levator action, Blepharophimosis syndrome and severe unilateral congenital ptosis with very poor levator action were randomized to either of the three methods of Frontalis sling surgery. All the three methods were compared in terms of postoperative correction and complications. Results: A comparable amount of ptosis correction was seen in all the three techniques. A better lid fold formation was seen in the Pentagonal and the Double Triangular technique and Pentagonal procedure was found to be the simplest technique to perform. Conclusion: Pentagonal technique is an optimal procedure of Frontalis suspension for the correction of congenital ptosis, although, all the three procedures gave comparable surgical results and the overall cosmesis was acceptable to the patients.