Reverse ptosis repair targeting the posterior layer of the lower eyelid retractor.

PURPOSE

To present a new technique for reverse ptosis repair targeting the posterior layer of the lower eyelid retractor.

METHODS

Retrospective case series.

RESULTS

The posterior layer of the lower eyelid retractor was advanced to improve reverse ptosis in 2 cases, which resulted from either microphthalmos or seventh nerve palsy. The affected lower eyelid levels were adjusted to almost the same height as the contralateral lower eyelids. One year after surgery, both cases maintained the same eyelid levels as were seen immediately postoperatively.

CONCLUSIONS

Posterior layer advancement of the lower eyelid retractor is effective and useful for reverse ptosis repair.