Kohn R
Am J Ophthalmol. 1983 Apr;95(4):539-44. doi: 10.1016/0002-9394(83)90278-7.
Five patients with eyelid retraction (seven eyelids, four upper and three lower eyelids) associated with blepharoptosis surgery, Graves' disease, and vertical extraocular muscle surgery were effectively treated with a new technique involving recessing the respective eyelid retractor beyond the tarsal border. Direct attachment of the levator aponeurosis or the inferior aponeurosis (capsulopalpebral head of the inferior rectus muscle) into the tarsus was maintained through an extended framework created by two pedicle tarsal rotation flaps. This anatomic retention of the tarsal-retractor junction enhanced transfer of muscle contracture into eyelid movement. The only adverse effect was a 4-mm gap in the eyelashes of one patient.
五例伴有上睑下垂手术、格雷夫斯病和垂直眼外肌手术相关的眼睑退缩患者（七只眼睑，四只上睑和三只下睑），采用一种新技术进行有效治疗，该技术是将相应的眼睑提肌退缩至睑板边界之外。通过两个带蒂睑板旋转皮瓣形成的扩展框架，维持提上睑肌腱膜或下睑腱膜（下直肌睑囊头）与睑板的直接附着。睑板-提肌连接处的这种解剖学保留增强了肌肉挛缩向眼睑运动的传递。唯一的不良反应是一名患者的睫毛出现4毫米的间隙。
