Jordan D R, Anderson R L
Department of Ophthalmology, University of Utah School of Medicine, Salt Lake City.
Ophthalmic Surg. 1990 Apr;21(4):237-44.
Using a surgical technique directed at the levator aponeurosis, we successfully corrected 228 cases of congenital ptosis. The advantages of this approach are: normal anatomic planes and structures of the eyelid are maintained; basic and reflex tear secretion, goblet cells, or meibomian glands remain undisturbed, allowing maintenance of the three-layered tear film; any aponeurotic defects may be explored and repaired relatively easily; all elevating structures are preserved (aponeurosis rather than muscular levator is removed, Mueller's muscle is left intact, Whitnall's ligament is not violated); posterior sutures, which may irritate the cornea, are avoided; no tarsus or conjunctiva are removed.
采用针对提上睑肌腱膜的手术技术，我们成功矫正了228例先天性上睑下垂。该方法的优点包括：保持眼睑正常的解剖平面和结构；基础泪液分泌、反射性泪液分泌、杯状细胞或睑板腺不受干扰，可维持三层泪膜；能相对容易地探查和修复任何腱膜缺损；保留所有提上睑结构（切除腱膜而非提上睑肌，保留米勒肌完整，不破坏惠特纳尔韧带）；避免了可能刺激角膜的后部缝线；不切除睑板或结膜。
