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March 1980

The A-Frame Operation for Acquired Blepharoptosis

Author Affiliations

From the Department of Ophthalmology, University of Oklahoma Health Sciences Center, the Dean A. McGee Eye Institute, and the Veterans Medical Center, Oklahoma City.

Arch Ophthalmol. 1980;98(3):516-519. doi:10.1001/archopht.1980.01020030512017

• The A-frame operation has been found effective in the treatment of acquired blepharoptosis. It has the following advantages: (1) it can be done easily, rapidly, and if desired, bilaterally, with a minimum of dissection; (2) corneal irritation is not seen; (3) the tarsus is not disturbed; (4) since it is done through an external incision, it can be done with a concomitant blepharoplasty or other oculoplastic procedure; and (5) the procedure is easily learned. The operation is a block resection of levator aponeurosis, Müller's muscle, and conjunctiva. The term "A-frame" was adopted from the use of temporary traction sutures to pull up the layers to be resected, suggesting an A-frame building. The results in 40 eyelids are presented with two illustrative case histories.

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