Resection of the levator palpebrae muscle by the conjunctival route, described by de Blaskovics1 in 1923 and 1929, soon became popular in this country. While good results were obtained, the effect of the operation in some cases was disappointing. I was convinced that the poor results were due to faulty technic. In my attempt to simplify the operation, I succeeded in getting not only good corrections but even overcorrections. These results were obtained even when apparently there was no action in the levator muscle before the operation. The effect was seemingly mechanical. This fact was mentioned by de Blaskovics.
It is because I believe that the slight variations in technic facilitate the operation, so that the steps are easier to follow, that I feel justified in making this report. The operation is similar to tarsal resection but is more effective, because the levator tendon, with its relation to surrounding
AGATSTON SA. RESECTION OF LEVATOR PALPEBRAE MUSCLE BY THE CONJUNCTIVAL ROUTE FOR PTOSISSIMPLIFIED TECHNIC. Arch Ophthalmol. 1942;27(5):994–996. doi:10.1001/archopht.1942.00880050164011
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