small incision levator advancement (in office)

Welcome to the site

I am a board-certified ophthalmologist interested in asp.net and vb.net programming. I have posted some visual studio programs below to the left to help with common ophthalmic calculations. I occasionally post photos and clinical scenarios from my practice.

If you have questions or comments regarding the Opioid Converter for the iPod and iPhone please email me at alsobol at drsobol.com.

Latest Blog Entries

Wednesday, January 09, 2008

small incision levator advancement (in office)

Dr. Hormozy taught me how to do this in my residency (drhormozy.com). In the office, you make a 3mm incision at the upper tarsal border, dissect superiorly until you can grasp the levator with forceps, and then suture it to the lower tarsus. The problem with the small single incision is that you end up with a "peak" centrally in the eyelid. This patient's other eyelid has a natural "peak" so she is a good candidate; also, she doesn't want to go to the OR. You can make a larger incision to have a better contour but then you may as well just do it in the OR so you can remove the fat pads, etc..

You can be sure that you have a good grip on the levator (you can't see it) when the suture is dragged superiorly when the patient is asked to look up.

alsobol at 5:17 PM | (0) Comments | Add a comment | Permalink

Commments