Levator aponeurosis disinsertion in the young adult. A cause of ptosis
J. J. Older
Three patients, under the age of 35 years, had acquired ptosis. All
patients gave a history of notable eyelid edema during extended periods.
The patients underwent surgery under local anesthesia. Four eyelids were
explored through the skin route, and a levator disinsertion was found in
all cases. Repair was accomplished by reattaching the lower edge of the
levator aponeurosis to the tarsus. Since the surgery was done under local
anesthesia, the patient could elevate the eyelids during the entire
procedure. The amount of eyelid elevation could, therefore, be determined
at surgery. Levator aponeurosis disinsertion may be a cause for acquired
ptosis following substantial eyelid edema in the young adult.
