THE CONSENSUS of ophthalmologists seems to be that resection of the levator is the operation of choice for all cases of blepharoptosis in which the levator muscle is active. Of the 26 operations1 designed to shorten this muscle, the Blaskovics operation seems to be the most popular. Surgeons who prefer to utilize the superior rectus or the frontalis muscle for all types of ptosis as a primary procedure do so because the Blaskovics procedure seems complicated or because no one seems to know just how much levator tissue to excise in each case.
The purpose of this article is to present a simplified procedure for shortening the levator palpebrae muscle, to demonstrate what types of ptosis are most suitable for this procedure, and to suggest a simple rule for determining how much levator tissue should be excised in a given case.
BLASKOVICS OPERATION FOR RESECTION OF THE LEVATOR PALPEBRAE
BERKE RN. A SIMPLIFIED BLASKOVICS OPERATION FOR BLEPHAROPTOSISResults in Ninety-One Operations. AMA Arch Ophthalmol. 1952;48(4):460-495. doi:10.1001/archopht.1952.00920010469011