{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T12:45:46Z","timestamp":1782218746760,"version":"3.54.5"},"reference-count":25,"publisher":"SLACK, Inc.","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Pediatr Ophthalmol Strabismus"],"published-print":{"date-parts":[[2008,9]]},"abstract":"\n Educational Objectives<\/jats:title>\n \n \n 1.<\/jats:label>\n To identify common forms of childhood ptosis considered for surgical repair by silicone rod frontalis suspension surgery.<\/jats:p>\n <\/jats:list-item>\n \n 2.<\/jats:label>\n To identify preoperative and postoperative eyelid characteristics important in assessing surgical repair of childhood ptosis.<\/jats:p>\n <\/jats:list-item>\n \n 3.<\/jats:label>\n To identify relative advantages of silicone rod material for frontalis suspension surgery in children.<\/jats:p>\n <\/jats:list-item>\n \n 4.<\/jats:label>\n To recognize potential complications of surgical ptosis repair in children.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:sec>\n \n Purpose<\/jats:title>\n To evaluate the safety and efficacy of silicone rod frontalis suspension surgery for childhood ptosis.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n The authors retrospectively studied 89 consecutive children (110 eyelids) who had silicone rod frontalis suspension surgery for ptosis at Duke University Eye Center from 1983 to 2004. Marginal reflex distance\n 1<\/jats:sub>\n (MRD\n 1<\/jats:sub>\n ) elevation of 2 mm or more (vs preoperative MRD\n 1<\/jats:sub>\n ) was considered satisfactory. MRD\n 1<\/jats:sub>\n was measured as the vertical distance from the corneal light reflex in primary gaze to the upper eyelid margin. The postoperative eyelid symmetry (\u2a7d 1 mm = satisfactory) was the difference between the MRD\n 1<\/jats:sub>\n of the surgical and fellow eyelid.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Median age at surgery was 45 months (range: 3 to 223 months) and median follow-up was 17 months (range: 1 to 88 months). Ptosis types (number of eyelids) were unilateral congenital (53), bilateral congenital (30), third nerve palsy (16), Marcus Gunn jaw wink (7), trauma (2), and myasthenia gravis (2). Median MRD\n 1<\/jats:sub>\n elevation was 2 mm or greater for all ptosis types, whereas satisfactory postoperative symmetry occurred in 60% of unilateral and 100% of bilateral congenital ptosis cases (last follow-up). Complications occurred in 10 eyelids (9%) and reoperation occurred in 10 eyelids (9%).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n The use of silicone rod frontalis suspension surgery for ptosis repair in pediatric patients is modestly effective, with few complications and easy removal and adjustment.<\/jats:p>\n \n [J Pediatr Ophthalmol Strabismus 2008;45:280\u2013288.]<\/jats:bold>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.3928\/01913913-20080901-11","type":"journal-article","created":{"date-parts":[[2009,3,16]],"date-time":"2009-03-16T18:22:42Z","timestamp":1237227762000},"page":"280-288","source":"Crossref","is-referenced-by-count":38,"title":["Safety and Efficacy of Silicone Rod Frontalis Suspension Surgery for Childhood Ptosis Repair"],"prefix":"10.3928","volume":"45","author":[{"given":"Carrie L.","family":"Morris","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edward G.","family":"Buckley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura B.","family":"Enyedi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandra","family":"Stinnett","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharon F.","family":"Freedman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2308","reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(84)34298-1"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.119.5.687"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.1980.01020031058009"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(96)30643-X"},{"key":"e_1_3_1_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/00007611-197701000-00029"},{"key":"e_1_3_1_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9394(66)91334-1"},{"key":"e_1_3_1_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9394(14)78108-5"},{"key":"e_1_3_1_9_2","doi-asserted-by":"publisher","DOI":"10.3928\/1542-8877-19811201-04"},{"key":"e_1_3_1_10_2","first-page":"379","article-title":"Silicone slings for the correction of ptosis associated with progressive external ophthalmoplegia","volume":"15","author":"Older JJ","year":"1984","unstructured":"Older JJ, Dunne PB. Silicone slings for the correction of ptosis associated with progressive external ophthalmoplegia. Ophthalmic Surg. 1984;15:379\u2013381.","journal-title":"Ophthalmic Surg"},{"key":"e_1_3_1_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/00002341-199103000-00006"},{"key":"e_1_3_1_12_2","doi-asserted-by":"publisher","DOI":"10.1076\/orbi.21.3.195.7171"},{"key":"e_1_3_1_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(86)33714-X"},{"key":"e_1_3_1_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/00002341-199805000-00002"},{"key":"e_1_3_1_15_2","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.1979.01020020227009"},{"key":"e_1_3_1_16_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.2002.009951"},{"key":"e_1_3_1_17_2","first-page":"129","article-title":"Evaluation of expanded polytetrafluoroethylene and autogenous fascia lata in frontalis suspension: a comparative clinical study","volume":"34","author":"Zweep HP","year":"1952","unstructured":"Zweep HP, Spauwen PH. Evaluation of expanded polytetrafluoroethylene and autogenous fascia lata in frontalis suspension: a comparative clinical study. Acta Chirurgiae Plasticae. 1952;34:129\u2013137.","journal-title":"Acta Chirurgiae Plasticae"},{"key":"e_1_3_1_18_2","doi-asserted-by":"publisher","DOI":"10.3928\/1542-8877-19880101-18"},{"key":"e_1_3_1_19_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-199604000-00004"},{"key":"e_1_3_1_20_2","doi-asserted-by":"publisher","DOI":"10.1177\/112067219600600210"},{"key":"e_1_3_1_21_2","doi-asserted-by":"publisher","DOI":"10.3928\/0191-3913-19820901-14"},{"key":"e_1_3_1_22_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.86.11.1282"},{"key":"e_1_3_1_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(91)32150-X"},{"key":"e_1_3_1_24_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.81.7.581"},{"key":"e_1_3_1_25_2","doi-asserted-by":"publisher","DOI":"10.1038\/eye.2001.56"},{"key":"e_1_3_1_26_2","volume-title":"Presented at the American Academy of Ophthalmology annual meeting","author":"Lederman C","unstructured":"Lederman C, Massry G, Hornblass A. Current trends in frontalis suspension: a survey of ASOPRS and AAPOS members. Presented at the American Academy of Ophthalmology annual meeting; October 27\u201331, 1996; Chicago, Illinois."}],"container-title":["Journal of Pediatric Ophthalmology & Strabismus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.healio.com\/doiresolver?doi=10.3928\/01913913-20080901-11","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,21]],"date-time":"2025-04-21T20:13:51Z","timestamp":1745266431000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.healio.com\/doi\/10.3928\/01913913-20080901-11"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,9]]},"references-count":25,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2008,9]]}},"alternative-id":["10.3928\/01913913-20080901-11"],"URL":"https:\/\/doi.org\/10.3928\/01913913-20080901-11","relation":{},"ISSN":["0191-3913","1938-2405"],"issn-type":[{"value":"0191-3913","type":"print"},{"value":"1938-2405","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,9]]}}}