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IP International Journal of Ocular Oncology and Oculoplasty

Transient inverse bells Phenomenon following frontalis sling surgery

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Author Details: Dhivya Ashok Kumar, Amar Agarwal

Volume : 2

Issue : 4

Online ISSN : 2581-5016

Print ISSN : 2581-5024

Article First Page : 258

Article End Page : 259


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.