Journal article

The Posterior Approach Tarsal Switch Procedure for Myopathic Ptosis: A Modified Technique

Mpopi N Lenake, Alan A McNab

Ophthalmic Plastic and Reconstructive Surgery | LIPPINCOTT WILLIAMS & WILKINS | Published : 2017


PURPOSE: The surgical management of myopathic ptosis remains a challenge. The authors report the results of a modified posterior approach tarsal switch technique, which raises both the upper and lower eyelids and reduces the risk of corneal exposure in these patients. METHODS: A modified tarsal switch technique is described. A tarsoconjunctival and Muller's muscle graft is harvested via a posterior approach from the upper eyelid, the defect closed, and the graft transferred to the lower eyelid. RESULTS: The procedure was performed on 16 eyelids of 9 patients. No adjunctive procedures were performed. The patients ranged in age from 36 years to 79 years. All patients had bilateral myopathic pt..

View full abstract