Transconjunctival levator resection: a modified simple technique.

A modified simple technique for transconjunctival levator resection is presented. Fifteen patients with congenital ptosis with a varying amount of levator action were operated on with this technique. The modification included different techniques for passing the sutures and avoiding separate sutures to form the lid fold. Lidocaine injections administered subconjunctivally and beneath the skin orbicularis lamina facilitate the dissection of the levator, and as much of the levator can be resected as is required. The use of a ptosis clamp was avoided by means of white cotton stay sutures passed through the levator. The postoperative reaction was minimal, and excellent dynamic lid folds were formed.