A simplified technique of ptosis repair using a single adjustable suture

The current state of ptosis repair

“…A number of authors reported the use of adjustable sutures that decreased the reoperation rate to 5-18% [28][29][30]. Another modification is a posterior approach levator advancement with sparing of the conjunctiva and Mü ller's muscle, which has been described with success rates similar to those of the external levator advancement and MMCR.…”

Outcome and Influencing Factors of External Levator Palpebrae Superioris Aponeurosis Advancement for Blepharoptosis

“…2 In addition, there have been multiple published descriptions of variations in surgical technique with similar good results. 4,[7][8][9][10] Due to relatively small samples sizes, conclusions regarding clinical characteristics, which identify patients at increased risk of unfavorable surgical results, have been limited in most series. Berlin and Vestal found that patients with minimal blepharoptosis, MRD between 2 and 4 mm, had favorable outcomes more often than patients with more severe blepharoptosis; however, no effect of the magnitude of levator function was observed.…”

Minimal incision posterior approach levator plication for aponeurotic ptosis

“…Using the same success criteria, other studies of posterior approach ptosis surgery also reported similar success rate of over 80%. [5][6][7][8] McCulley et al 8,9 described a large series of traditional anterior approach to levator advancement and reported 77% success, and a simplified anterior approach technique of using a single adjustable suture had success rate of 74%. A study of 10 years' experience in MMCR in Asian unilateral ptosis reported 82.8% success defined by interlid MRD difference of r1 mm.…”