In the surgical treatment of ptosis corrective effects are dependent on three different principles: (a) dependence on the attachment of the frontalis muscle to the lid by cicatricial bands, strips of skin, strips of orbicularis muscle and fascia lata; (b) shortening of the levator muscle of the upper lid by means of resection of the tarsus and resection or tucking of the levator muscle, or (c) dependence on elevation of the globe by means of the Motais operation and its modifications, the Young1 operation, in which the upper lid is made to adhere to the globe, the Dickey2 fascia lata sling or the Trainor3 procedure, in which a strip of tarsus is passed under the superior rectus muscle.
Operations that depend for effect on the attachment of the lid to the frontalis muscle are not to be recommended for two chief reasons: First, the direction of pull
WHEELER JM. CORRECTION OF PTOSIS BY ATTACHMENT OF STRIPS OF ORBICULARIS MUSCLE TO THE SUPERIOR RECTUS MUSCLE. Arch Ophthalmol. 1939;21(1):1–7. doi:10.1001/archopht.1939.00860010015001
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: