Surgical Techniques

Surgical procedures include: Correction of acquired ptosis may possibly be performed in a number of different ways.

  • Ptosis can be caused by {the} apneurosis of {the} levator muscle, nerve abnormalities, trauma, inflammation or lesions of {the} lid or orbit.
  • Dysfunctions of {the} levators may possibly occur as a result of a lack of nerve communication being sent to {the} receptors due to antibodies needlessly attacking and eliminating {the} neurotransmitter.
  • Ptosis may possibly be due to a myogenic, neurogenic, aponeurotic, mechanical or traumatic cause and it usually occurs isolated, but may possibly be associated with various other conditions, like immunological, degenerative, or hereditary disorders, tumors, or infections.
  • Acquired ptosis is most commonly caused by aponeurotic ptosis. This can occur as a result of senescence, dehiscence or disinsertion of {the} levator aponeurosis. Moreover, chronic inflammation or intraocular surgery can lead to {the} same effect. Also, wearing contact lenses for long periods of time is thought to have a certain impact on {the} development of this condition.
  • Congenital neurogenic ptosis is believed to be caused by {the} Horner syndrome.
  • In this case, a mild ptosis may possibly be associated with psilateral ptosis, iris and areola hypopigmentation and anhidrosis due to {the} paresis of {the} Mueller muscle. Acquired Horner syndrome may possibly result after trauma, neoplastic insult, or even vascular disease.
  • Ptosis due to trauma can ensue after an eyelid laceration with transection of {the} upper eyelid elevators or disruption of {the} neural input.
  • Other causes of ptosis include eyelid neoplasms, neurofibromas or {the} cicatrization after inflammation or surgery. Mild ptosis may possibly occur with aging.

Levator resection (Anterior/External approach)

  • Skin incision
  • Adjustment is based on eyelid position during surgery patient is awake
  • May be combined with cosmetic upper blepharoplasty

Müller muscle resection  (Poster / Internal approach)

  • Ideal for patients with minimal excess skin
  • No visible skin incision
  • May be combined with cosmetic upper blepharoplasty
  • Candidates for this procedure respond to 2.5% phenylephine place behind {the} upper eyelid. See slider animation below.

Frontalis sling operation

  • The idea of {the} frontalis sling procedure is to transfer {the} elevating function of {the} ptotic eyelid to {the} frontalis muscle.
  • Required when {the} degree of ptosis is severe
  • To achieve this, {the} eyelid is directly suspended to {the} brow using various materials.Creates a ‘sling’ from {the} frontalis muscle (brow) to {the} eyelid.
    • synthetic materials, such as ptoseup, Supramid suture, Gortex, silicone, or Mersilene mesh may possibly also be used.
    • Fascia (autogenous or donor using material such as BioElevation™ Ptosis Slings
  • performed for congenital ptosis
  • Because {the} sling material has little elasticity, a tethering effect on downgaze, Lagophthalmosxare expected postoperatively
  • Allows patient to be asleep since surgical repair is based on formula

Treatment Details Surgery Animated Surgical steps of Ptosis Surgery


Treatment Details Surgery Videos of Ptosis Surgery





Non-surgical modalities like {the} use of "crutch" glasses or special Scleral contact lenses to support {the} eyelid may possibly also be used.




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