Twenty cases (25 eyes) of severe ptosis were treated with the levator aponeurosis-Muller’s muscle complex combined frontalis suspension. From 6 months to 3 years followingup the results were satisfactory.The surgical procedure was described. The surgical principles, advantages and disadvantages were discussed.
Ten cases of ptosis from myasthenia gravis were treated by an horing myocutancous flap from upper eyelid to the frontal belly of the occipito-frontalis muscle. This flap was very elastic in texture and possessed a b hanging force, and without the ill-effect of tissue rejection. It could effectively restore the function of the upper eyelid with the aid of the action of occipito-frontalis muscle. The patients were followed up from 1 to 3 years with satisfactory results.