Waller R R
Trans Sect Ophthalmol Am Acad Ophthalmol Otolaryngol. 1975 Sep-Oct;79(5):697-702.
In senile ptosis and late-acquired hereditary ptosis, the Fasanella-Servat procedure is dependable and successful. However, levator resection by the posterior approach is appropriate for the more severe problems. In senile ptosis, a search should be made for signs that might prompt disinsertion repair. The decision for surgery in patients with chronic progressive external ophthalmoplegia or myotonic dystrophy should be made cautiously, and the "optical tarsectomy" should be considerable before conservative levator resection or fascia lata suspension. The patient with myasthenia gravis should be identified, medical evaluation initiated, and except in rare instances, surgery avoided. The more unusual forms of myogenic ptosis should be treated surgically only when the ptosis persists and has stabilized.
在老年性上睑下垂和迟发性遗传性上睑下垂中，法萨内拉 - 塞尔瓦特手术是可靠且成功的。然而，后入路提上睑肌切除术适用于更严重的问题。在老年性上睑下垂中，应寻找可能提示断腱修复的体征。对于慢性进行性外眼肌麻痹或强直性肌营养不良患者，手术决策应谨慎，在进行保守的提上睑肌切除术或阔筋膜悬吊术之前，应考虑“光学睑板切除术”。应识别重症肌无力患者，开始医学评估，除极少数情况外，应避免手术。仅当肌源性上睑下垂持续且稳定时，才应进行手术治疗。
