Transient inverse bells Phenomenon following frontalis sling surgery


Article PDF :

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Article type :

Case Report

Author :

Dhivya Ashok Kumar, Amar Agarwal

Volume :

2

Issue :

4

Abstract :

Downward and inward movement of eyeballs on voluntary lid closure is known as Inverse Bells Phenomenon. This has been known to happen after maximal Levator resection surgeries. We present similar reversal of normal Bells phenomenon to Inverse Bells following Frontalis sling surgery in a young female patient with congenital ptosis. The inversion became normal after 2 weeks with conservative management. We believe that this report can add to the existing literature that inverse Bells shall occur not only in Levator surgery but also following frontalis sling and the surgeon should be well aware of such complication.