title: Inferior tarsal muscle-conjunctivectomy for reverse ptosis repair: A novel technique.
abstract: We describe a new technique for treatment of reverse ptosis in a patient with Horner Syndrome by means of excision of conjunctiva and inferior tarsal muscle. Surgery with eversion of inferior ptotic eyelid, placement of the Putterman ptosis clamp on the conjunctiva under inferior tarsus, suturing under incarcerated tissue and resection of 6mm of conjunctiva and inferior tarsal muscle was done under local anaesthesia in a short operating time with good cosmetic results without eyelid malposition or skin scar.
authors.affiliation: a Ophthalmic Plastic Surgery Department , Instituto de Microcirugia Ocular , Barcelona , Spain.
authors.forename: Ramón
authors.identifier: http://orcid.org/0000-0002-5965-9710
authors.initials: R
authors.lastname: Medel
authors.affiliation: a Ophthalmic Plastic Surgery Department , Instituto de Microcirugia Ocular , Barcelona , Spain.
authors.forename: Òscar
authors.identifier: http://orcid.org/0000-0002-9506-8811
authors.initials: Ò
authors.lastname: Balaguer Solé
authors.affiliation: a Ophthalmic Plastic Surgery Department , Instituto de Microcirugia Ocular , Barcelona , Spain.
authors.forename: Luz María
authors.identifier: http://orcid.org/0000-0002-8538-7034
authors.initials: LM
authors.lastname: Vasquez
mesh_terms: D000328:Adult; D001763:Blepharoptosis / Q000209:etiology / Q000601:surgery*; D001767:Blinking / Q000502:physiology; D003228:Conjunctiva / Q000601:surgery*; D005143:Eyelids / Q000601:surgery*; D006732:Horner Syndrome / Q000601:surgery; D006801:Humans; D007429:Intraocular Pressure / Q000502:physiology; D008297:Male; D009801:Oculomotor Muscles / Q000601:surgery*; D013508:Ophthalmologic Surgical Procedures; D014792:Visual Acuity / Q000502:physiology
keywords: Horner syndrome; Putterman clamp; inverted ptosis; lower eyelid ptosis; reverse ptosis