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Purpose : To illustrate a new surgical procedure ,which is more effective in correcting severe ptosis, and can achieve a satisfactory cosmetic result.
Methods : The tarsus was sutured and suspended to the conjoint fascia sheath (CFS), the tissue between the superior rectus and the levator palpebrae superioris. This new procedure contribute greatly to the improvement of the height of the upper eyelid, and to the proper adjustment of the upper eyelid radian. After 1 years follow-up, the effect was stable.
Results : There were 22 patients(27 eyes) with severe ptosis who received the treatment of CFS suspension, including 5 cases of bilateral ptosis and 17 cases of the unilateral. All cases were followed up for 1 year, and had achieved satisfactory effect in 26 eyes .The other 1 eye got improved.
Conclusion : The application of CFS suspension in correcting severe ptosis shows the advantages of relatively simple operation procedure, less damage during the operation, less the hysteresis of upper eyelid after the operation and few complications. This technique can effectively correct the severe ptosis with stable curative effect, and it is worth to wide application.
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