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  • Title: Involutional ptosis.
    Author: Collin JR.
    Journal: Aust N Z J Ophthalmol; 1986 May; 14(2):109-12. PubMed ID: 3801202.
    Abstract:
    Involutional ptosis was corrected by either an anterior or posterior approach in 105 eyelids. The posterior approach was preferred unless there was a specific indication for the anterior approach which included excess skin and bulky eyelids. At operation approximately 10% of cases were found to have fatty degenerative changes in the anterior part of the levator muscle. These changes were associated with a relatively normal skin crease, bulky eyelids, lateral displacement of the tarsus, and a more marked ptosis in the medial part of the lid. A second procedure was required in 14 eyelids to achieve eyelid heights which remained within approximately 1 mm of each other for the follow-up period, which extended to eight years.
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