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.

Keywords: Horner syndrome; Putterman clamp; inverted ptosis; lower eyelid ptosis; reverse ptosis.