Surgical repair of extreme bilateral ptosis by modified anterior approach

This report describes an apparently unique anterior approach surgical repair of a congenital ptosis which had progressed with age and had functionally almost blinded the patient. Poor tear production was the reason that neither conventional maximal levator resection nor sling procedures were considered desirable. A method of levator resection with no interference with the conjunctiva is presented, although since performance of the surgery, a similar method has been published. A few caveats of ptosis surgery are offered.