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Surgical management of complete blepharoptosis with no levator function from a compressive third nerve palsy

Steven A Nissman1

  • 1Nissman Eye Associates, Plymouth Meeting, Pennsylvania, USA.

Ophthalmic Surgery, Lasers & Imaging : the Official Journal of the International Society for Imaging in the Eye
|December 11, 2008
PubMed

A 94-year-old monocular woman with a posterior communicating artery aneurysm developed a compressive third nerve palsy with complete blepharoptosis and abduction of her seeing eye. It was believed that she was not a good neurosurgical candidate for aneurysm repair. Her ptosis was managed successfully with an in-office Whitnall sling procedure combined with a superior tarsectomy. The author describes this safe and effective method for surgical management of complete ptosis with zero levator function.

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