Facial plast Surg 2007; 23: 203-215 DOI: 10.1055/s-2007-984561
Copyright © 2007 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.
Blepharoptosis: Evaluation, Techniques, and Complications
Syed M. Ahmad2, Robert C. Della Rocca1,2,3
1 Department of Ophthalmology, The New York Eye and Ear Infirmary, New York, New York 2 Department of Ophthalmology, St. Luke's-Roosevelt Hospital Center, New York, New York 3 Department of Ophthalmology, New York Medical College, New York, New York

ABSTRACT

Blepharoptosis (ptosis) is one of the most common eyelid disorders encountered in ophthalmology. A detailed history and exam are crucial in the evaluation of a patient presenting with ptosis. This provides the correct guidelines for surgical planning. The appropriate surgical technique is usually determined by the degree of ptosis and levator function. The surgeon should have an armamentarium of several different techniques for the management of ptosis. This article will detail a modified approach to the traditional tarsomyectomy (Fasenalla-Servat procedure) and also discuss the levator advancement. Despite the proper preoperative evaluation and meticulous attention to technique, the ptosis surgeon may still encounter postoperative complications. The ability to manage the array of possible complications truly distinguishes the ptosis surgeon.

KEYWORDS

Ptosis - blepharoptosis - levator advancement - Fasenalla-Servat procedure - tarsomyectomy - frontalis suspension