Most ophthalmologists believe that resection of the levator gives the best cosmetic and functional results in blepharoptosis. Since some surgeons prefer the external and others the internal approach, a number of operations were done through the skin and the results were compared with a previously published report8 on resection of the levator done through the conjunctiva. This should be a fair and valid estimate of the relative merits of the two procedures because the patients were consecutive in each series and because the surgery was done at the same institution by essentially the same resident and attending surgeons.
Since Eversbusch's1 original description, in 1883, for tucking the levator, Meller,2 de Lapersonne,3 Johnson,4 Leahey,5 and others6-11 have described similar procedures for shortening the levator through the external route.
The material for this study comprised 147 operations for resection of the levator through a
BERKE RN. Results of Resection of the Levator Muscle Through A Skin Incision in Congenital Ptosis. AMA Arch Ophthalmol. 1959;61(2):177-201. doi:10.1001/archopht.1959.00940090179001