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Joseph Laval, M.D.

Arch Ophthal. 1945;33(6):482-483.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

For the correction of ptosis in the absence of action of the levator muscle two procedures are open to the surgeon. One is to utilize the superior rectus muscle if it is active, as in the Motais procedure,¹ and the other is to make a sling which will lift the lid, as in the Machek procedure,² when the superior rectus muscle is paralyzed. The latter method is a modified Panas operation,³ or a Hunt-Tansley procedure, in which the skin of the upper lid is utilized for the sling. Instead of utilizing skin of the upper lid for the sling, Derby,⁴ and later Wiener and Alvis,⁵ used fascia lata.

In 1924 Reese⁶ suggested using strips of orbicularis muscle and pretarsal fascia to produce a sling. I have simplified and modified his procedure, as described here.

An incision is made through the skin and subcutaneous . . . [Full Text PDF of this Article]

Author Affiliations
New York

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