Noma Kazunami, Takahashi Yasuhiro, Leibovitch Igal, Kakizaki Hirohiko
Noma Eye Clinic, Kokutaiji, Naka-ku, Hiroshima 730-0042, Japan.
Open Ophthalmol J. 2010 Dec 14;4:71-5. doi: 10.2174/1874364101004010071.
Transcutaneous blepharoptosis surgery with simultaneous advancement of the levator aponeurosis and Müller's muscle (levator resection) is a popular surgery which is considered effective for all types of blepharoptosis except for the myogenic type. Repair of ptosis cases with good levator function yields excellent results. A good outcome can be also obtained in cases with poor levator function, however, in such cases; a large degree of levator advancement may be required, which may result in postoperative dry eyes, unnatural eyelid curvature and astigmatism. These cases are therefore better treated with sling surgery. With the right patient selection, the levator resection technique is an effective method for ptosis repair.
经皮睑下垂手术同时进行提上睑肌腱膜和米勒肌推进（提上睑肌切除术）是一种常用手术，除肌源性睑下垂外，被认为对所有类型的睑下垂均有效。提上睑肌功能良好的上睑下垂病例修复效果极佳。提上睑肌功能较差的病例也可取得良好效果，然而，在此类病例中，可能需要大幅度推进提上睑肌，这可能导致术后干眼、眼睑曲率不自然和散光。因此，这些病例采用悬吊手术治疗效果更佳。通过正确选择患者，提上睑肌切除术是修复上睑下垂的有效方法。
