The Cure of Ptosis by Aponeurotic Repair

Congenital ptosis with aponeurotic maldevelopment: clinical and surgical perspectives

“…All these factors could contribute to the lid lag and probably the cause of the fair function. This hypothesis was raised by some authors in previous reports [ 6 – 9 ]. Some mentioned that the aponeurosis fibrotic changes found in ptotic eyes with poor preoperative levator function could inversely affect its stretching capability and aggravate the limitation of eyelid excursion [ 10 ].…”

“…Intraoperatively, a sure sign of aponeurotic defect was identifying Muller conjunctival complex with vascular arcade after opening of the orbital septum. As the dissection was carried out meticulously layer by layer [ 3 ] and the septum was opened at a higher level than the upper tarsal border, the accidental aponeurosis severance was excluded, and the aponeurosis could only be identified once the preaponeurotic fat was retracted before dissection was carried down to expose the tarsus.…”

Congenital ptosis with aponeurotic maldevelopment: clinical and surgical perspectives

“…All these factors could contribute to the lid lag and probably the cause of the fair function. This hypothesis was raised by some authors in previous reports [ 6 – 9 ]. Some mentioned that the aponeurosis fibrotic changes found in ptotic eyes with poor preoperative levator function could inversely affect its stretching capability and aggravate the limitation of eyelid excursion [ 10 ].…”

“…Intraoperatively, a sure sign of aponeurotic defect was identifying Muller conjunctival complex with vascular arcade after opening of the orbital septum. As the dissection was carried out meticulously layer by layer [ 3 ] and the septum was opened at a higher level than the upper tarsal border, the accidental aponeurosis severance was excluded, and the aponeurosis could only be identified once the preaponeurotic fat was retracted before dissection was carried down to expose the tarsus.…”

Open-sky isolated subtotal Muller’s muscle resection for ptosis surgery: a review of over 300 cases and assessment of long-term outcome

“…Levator aponeurosis surgery was first advocated by Jones et al 14 for the treatment of involutional ptosis, and since then, reported success rates in the literature have varied, ranging from 57 to over 90%. [1][2][3][4] In a large series of anterior levator advancement, McCulley et al 2 found that 77% of eyelids were symmetrical to within 1 mm of the fellow eye, with 8.8% of eyelids requiring re-operation.…”

Total levator aponeurosis resection for primary congenital ptosis with very poor levator function

“…[5] All the patients have achieved the desire result without any complications. Although recent findings have shown the frontalis suspension technique is a commonly performed surgical correction of congenital ptosis, used widely in the repair of ptosis with poor levator function, we recommend ours as an ideal procedure to start with for the correction of primary congenital ptosis with very poor levator function.…”

Congenital ptosis with aponeurotic maldevelopment: clinical and surgical perspectives

“…All these factors could contribute to the lid lag and probably the cause of the fair function. This hypothesis was raised by some authors in previous reports [ 6 – 9 ]. Some mentioned that the aponeurosis fibrotic changes found in ptotic eyes with poor preoperative levator function could inversely affect its stretching capability and aggravate the limitation of eyelid excursion [ 10 ].…”

“…Intraoperatively, a sure sign of aponeurotic defect was identifying Muller conjunctival complex with vascular arcade after opening of the orbital septum. As the dissection was carried out meticulously layer by layer [ 3 ] and the septum was opened at a higher level than the upper tarsal border, the accidental aponeurosis severance was excluded, and the aponeurosis could only be identified once the preaponeurotic fat was retracted before dissection was carried down to expose the tarsus.…”

Open-sky isolated subtotal Muller’s muscle resection for ptosis surgery: a review of over 300 cases and assessment of long-term outcome

“…Levator aponeurosis surgery was first advocated by Jones et al 14 for the treatment of involutional ptosis, and since then, reported success rates in the literature have varied, ranging from 57 to over 90%. [1][2][3][4] In a large series of anterior levator advancement, McCulley et al 2 found that 77% of eyelids were symmetrical to within 1 mm of the fellow eye, with 8.8% of eyelids requiring re-operation.…”

Total levator aponeurosis resection for primary congenital ptosis with very poor levator function

“…[5] All the patients have achieved the desire result without any complications. Although recent findings have shown the frontalis suspension technique is a commonly performed surgical correction of congenital ptosis, used widely in the repair of ptosis with poor levator function, we recommend ours as an ideal procedure to start with for the correction of primary congenital ptosis with very poor levator function.…”

Congenital ptosis with aponeurotic maldevelopment: clinical and surgical perspectives

“…All these factors could contribute to the lid lag and probably the cause of the fair function. This hypothesis was raised by some authors in previous reports [ 6 – 9 ]. Some mentioned that the aponeurosis fibrotic changes found in ptotic eyes with poor preoperative levator function could inversely affect its stretching capability and aggravate the limitation of eyelid excursion [ 10 ].…”

“…Intraoperatively, a sure sign of aponeurotic defect was identifying Muller conjunctival complex with vascular arcade after opening of the orbital septum. As the dissection was carried out meticulously layer by layer [ 3 ] and the septum was opened at a higher level than the upper tarsal border, the accidental aponeurosis severance was excluded, and the aponeurosis could only be identified once the preaponeurotic fat was retracted before dissection was carried down to expose the tarsus.…”

Open-sky isolated subtotal Muller’s muscle resection for ptosis surgery: a review of over 300 cases and assessment of long-term outcome

“…Levator aponeurosis surgery was first advocated by Jones et al 14 for the treatment of involutional ptosis, and since then, reported success rates in the literature have varied, ranging from 57 to over 90%. [1][2][3][4] In a large series of anterior levator advancement, McCulley et al 2 found that 77% of eyelids were symmetrical to within 1 mm of the fellow eye, with 8.8% of eyelids requiring re-operation.…”

Total levator aponeurosis resection for primary congenital ptosis with very poor levator function

“…[5] All the patients have achieved the desire result without any complications. Although recent findings have shown the frontalis suspension technique is a commonly performed surgical correction of congenital ptosis, used widely in the repair of ptosis with poor levator function, we recommend ours as an ideal procedure to start with for the correction of primary congenital ptosis with very poor levator function.…”