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April 1961

Levator Resection for Minimal Ptosis: Another Simplified Operation

Author Affiliations

New Haven, Conn.
Resident in Ophthalmology, Yale University School of Medicine (Dr. Servat).; Chief, Section of Ophthalmology, Yale University School of Medicine (Dr. Fasanella).

Arch Ophthalmol. 1961;65(4):493-496. doi:10.1001/archopht.1961.01840020495005

In cases of ptosis demonstrating a fair to good levator action, some procedure utilizing the principals described by Blascovic1 is still considered the operation of choice. In an attempt to shorten the operative time and simplify the technical difficulties often encountered especially by the ophthalmic surgeon who does ptosis surgery only "occasionally," many modifications of this procedure have been devised and described.

In this paper we are presenting another modification of Blascovic's original levator resection intended only for cases of minimal ptosis (3 to 4 mm.) with some function of the levator showing a fair lid fold and in the absence of the "jaw-winking" phenomenon of Marcus Gunn. In our last 4 cases of minimal ptosis we have utilized a simplified and fast procedure (10 min.). Essentially the operation consists of a resection of the levator (or better Müller's and levator), tarsus, and conjunctiva. For this reason, it may

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