EVER since, forty years ago, Motais1 and Parinaud2 simultaneously described an operation for correction of ptosis by suspending the tarsus of the upper lid from the superior rectus muscle, this type of operation has been repeatedly revived, with modifications.
Motais originally exposed the superior rectus muscle and the anterior surface of the tarsus through a conjunctival incision and then fashioned a flap from the middle third of the superior rectus muscle, which he sutured to the anterior surface of the tarsus. To simplify the technic of the operation, Shoemaker3 and Taggart4 made incisions through the skin, as well as through the conjunctiva; and later Kirby5 performed the operation entirely through the skin. This small muscle flap often pulled away, resulting in failure. In other cases, in which the muscle flap did not slip, an exaggerated Gothic type of arch developed, deforming the normal curve of