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January 1980

Surgery in Ptosis

Arch Ophthalmol. 1980;98(1):186. doi:10.1001/archopht.1980.01020030188025

To the Editor.  —I would like to comment on the twin articles by Drs Anderson and Dixon in the June 1979 issue of the Archives (97:1123-1128, 1129-1131, 1979).Both articles are interesting and well thought out, and seem to herald a new approach to the surgical treatment of ptosis. In the first article, "Aponeurotic Ptosis Surgery," a series of 60 cases were treated by resection and repair of degenerated parts of the aponeurosis, plus the advancement of the repaired aponeurosis onto the tarsus to overcorrect the ptosis. Only about 12 cases remained overcorrected after a year.The surgery outlined, while not difficult, is somewhat more complicated than the previous levator resections or Fasanella-Servat procedures to which we have been accustomed. And since these "older" procedures were mostly successful, did we simply resect the whole degenerated aponeurosis (plus some of the muscular levator) with our previous surgery? Was this a better

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