A technique of levator resection for ptosis repair is described using a combination of the Berke transcutaneous and the Iliff conjunctival approaches. Through a skin incision the levator is resected en bloc with conjoined conjunctiva. This tongue of tissue is advanced downward into a pocket made in the lid and sutured. Of 55 patients operated upon, 81% had satisfactory results. The procedure is recommended because of its simplicity, effectiveness, and lack of serious complications.
Bodian M. An External Approach to Ptosis Repair. Arch Ophthalmol. 1972;88(2):176-180. doi:10.1001/archopht.1972.01000030178008