A new treatment for server unilateral congenital ptosis and for ptosis with jaw winking

Surgical Outcomes in Cases of Marcus-Gunn Jaw-Winking Phenomenon

“…Other studies also reported the similar age group of presentation; mean age of 5 years, 5 11.23 yeas. 6 In our study, 78% of patients were males although other studies did not have such a difference in frequency among male and females. 5,7,8 Along with jaw winking, these patients also have various degree of ipsilateral ptosis and hypotropia.…”

“…Hence many surgeons have reported of performing the same procedure on the normal side too claiming the improvement of frontalis action and symmetry. 5,6,11 But in our cases we did unilateral levator excision and frontalis sling surgery and we had good surgical outcomes in 55% of cases with MRD of 3mm or more at one year follow up. One of them is awaiting surgery.…”

Levator Transposition and Frontalis Sling Procedure in Severe Unilateral Ptosis and the Paradoxically Innervated Levator

“…However, the latter is still frequently used. 3,4 An important advance proposed by Beard3 uses levator excision to pro¬ duce an iatrogenic ptosis on the nor¬ mal side contralateral to a severe uni¬ lateral ptosis followed by bilateral frontalis sling procedures. However, complete ablation of levator function is difficult to accomplish with levator excision.…”

Levator sling for Marcus Gunn ptosis.

“…5,6) so that the levator was made free at the level of superior transverse ligament and remained attached at the tarsal plate (Fig. 7).…”