{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T03:08:27Z","timestamp":1773889707292,"version":"3.50.1"},"reference-count":16,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Klin Monbl Augenheilkd"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Purpose To evaluate the efficacy of autologous fascia lata grafting for stabilising upper eyelids in patients with refractory floppy eyelid syndrome (FES).<\/jats:p>\n                  <jats:p>Methods A retrospective analysis was conducted on three male patients (mean age 45\u2009\u00b1\u20094 years) with bilateral FES symptoms unresponsive to conservative management for more than one year. All patients presented with foreign body sensation and conjunctival redness. Surgical intervention consisted of harvesting autologous fascia lata, exposing the tarsal plate via a lid crease incision, and securing the fascia lata graft under tension using Vicryl sutures. Primary outcome measures included changes in eyelid tension, symptomatic improvement (assessed by OSDI scores), and cosmetic appearance. Secondary outcomes included complication rates and need for reoperation.<\/jats:p>\n                  <jats:p>Results Four eyelids of three patients underwent surgery (one bilateral, two unilateral). Postoperative assessment demonstrated increased upper eyelid tension in all cases. Symptomatic improvement was observed with a reduction in OSDI scores from 38\u2009\u00b1\u20093 preoperatively to 30\u2009\u00b1\u20095 postoperatively (p\u2009=\u20090.07). Excellent cosmetic outcome was achieved in 3 out of 4 operated eyelids. One patient reported transient foreign body sensation attributed to suture material. No reoperations were required during the follow-up period of 18\u2009\u00b1\u20096 months.<\/jats:p>\n                  <jats:p>Conclusions Autologous fascia lata grafting provides effective horizontal eyelid tension for patients with refractory floppy eyelid syndrome. This technique offers advantages over traditional approaches by preserving the canthal area and lid margin architecture while providing uniform tension distribution across the eyelid. Our preliminary results suggest this may be a valuable surgical option for managing refractory FES cases.<\/jats:p>","DOI":"10.1055\/a-2767-6613","type":"journal-article","created":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T00:14:03Z","timestamp":1765325643000},"page":"229-234","source":"Crossref","is-referenced-by-count":0,"title":["Upper Eyelid Stabilisation Using Fascia lata for Floppy Eyelid Syndrome"],"prefix":"10.1055","volume":"243","author":[{"given":"Christoph","family":"Holtmann","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Heinrich Heine University D\u00fcsseldorf, Germany"},{"name":"Faculty of Health, School of Medicine, Witten\/Herdecke University, Germany"},{"name":"Department of Ophthalmology, Health Medical University, Helios Klinikum Krefeld, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gerd","family":"Geerling","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Heinrich Heine University D\u00fcsseldorf, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Borrelli","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Heinrich Heine University D\u00fcsseldorf, Germany"},{"name":"Mediclinic City Hospital, Dubai, UAE"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2026,3,18]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"568","DOI":"10.1016\/0002-9394(81)90652-8","article-title":"The floppy eyelid syndrome","volume":"92","author":"W W Culbertson","year":"1981","journal-title":"Am J Ophthalmol"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1016\/j.survophthal.2009.02.025","article-title":"Floppy eyelid syndrome: stretching the limits","volume":"55","author":"D G Ezra","year":"2010","journal-title":"Surv Ophthalmol"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"694","DOI":"10.1016\/j.ophtha.2004.11.031","article-title":"The pathogenesis of floppy eyelid syndrome: involvement of matrix metalloproteinases in elastic fiber degradation","volume":"112","author":"U Schl\u00f6tzer-Schrehardt","year":"2005","journal-title":"Ophthalmology"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"174","DOI":"10.1016\/S0161-6420(94)31368-6","article-title":"Histopathologic features of the floppy eyelid syndrome. 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