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SM Verity, JA Luksich, ME Hartstein, JB Holds; Small-Incision External Levator Aponeurosis Repair . Invest. Ophthalmol. Vis. Sci. 2002;43(13):1473.
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Purpose: Advantages of small incision ptosis surgery include: less bleeding and edema, minimal dissection, use of less local anesthetic, and decreased operative time leading to shortened recovery time. We report our experience with small incision ptosis repair. Methods: We retrospectively reviewed the charts and photographs of 89 eyelids of 73 patients who underwent external levator aponeurosis repair utilizing a small incision. The incision ranged from 8 mm to 13 mm (the width of a Desmarres retractor). Results: Satisfactory eyelid position and contour were achieved in 86 of 89 eyelids (97%). Three eyelids required revision due to overcorrection (1) or undercorrection (2). There were no other significant complications. Follow-up ranged from 2-18 months. Conclusion: Our experience suggests that small incision ptosis repair is a safe and effective technique, allowing for a shorter operative time and more rapid recovery.
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