Does conjunctival resection in ptosis surgery lead to dry-eye syndrome?

On collating the results of four ophthalmic surgeons after conjunctivolevator resection in ptosis surgery we found no instance of dry-eye syndrome. Our conclusions were based on clinical findings and Schirmer testing after many hundreds of such operations. This study was undertaken because some ophthalmic surgeons had speculated that removal of conjunctiva in this type of surgery would lead to keratoconjunctivitis sicca. Despite prolonged follow-up (as much as 30 years), this has not occurred. All contributing surgeons expressed satisfaction with conjunctivolevator resection in ptosis surgery on selected cases.