[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
[Skip to Content Landing]
June 1965

Levator RecessionWith Reattachment to the Tarsus With Collagen Film

Author Affiliations

Birmingham, Ala

Arch Ophthalmol. 1965;73(6):800-802. doi:10.1001/archopht.1965.00970030802009

For levator palpebrae muscles hyperactive and spastically contracting from thyroid disorder or for a levator shortened too much in surgical correction of ptosis, they or it are recessed the estimated distance and the end of the levator tendon is connected to the tarsus either by an intermediary sector of pretarsal orbicularis or with a strip of collagen film (Ethicon). Before describing this technique, it may be of interest to briefly review the procedures previously devised for levator recession.

The classic procedure for recession is Goldstein's method (1934) which may be performed via either the skin or conjunctiva. After separating the levator from the conjunctiva behind and the orbicularis in front, and allowing it to recede into the upper fornix and orbit for 10 mm, the lower end of the levator tendon is attached to the skin and orbicularis muscle beneath the eyebrow with three mattress sutures tied over rubber strips.

First Page Preview View Large
First page PDF preview
First page PDF preview