Rev Bras Oftalmol.2026;85:e0073
Eyelid ptosis in Kearns-Sayre syndrome: a case report
DOI: 10.37039/1982.8551.20260073
ABSTRACT
The objective was to report a case of severe eyelid ptosis associated with Kearns-Sayre Syndrome (KSS), with 12 years of postoperative follow-up. A patient diagnosed with KSS presented with progressive eyelid ptosis since childhood and underwent bilateral frontalis suspension using silicone rods. Clinical follow-up included evaluation of eyelid symmetry, ocular motility, and visual acuity. After 12 years of follow-up, stable eyelid symmetry and satisfactory functional outcomes were observed, despite the expected progression of the underlying mitochondrial myopathy. Frontalis suspension with silicone rods proved to be an effective and long-lasting surgical option for severe ptosis in KSS patients.