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Internal levator aponeurosis advancement procedure a common means for managing ptosis

Ophthal Plast Reconstr Surg. 2011;27(4):270-276.

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A majority of the members of the American Society of Ophthalmic Plastic and Reconstructive Surgeons who responded to a survey on common practices said they perform internal levator aponeurosis advancement surgery, with half of all respondents indicating that they had performed more than 100 ptosis procedures over the past year, according to a study.

Nearly three-fourths of the 208 respondents said that they currently use the internal levator aponeurosis advancement procedure, and nearly two-thirds of respondents said that they used a phenylephrine test during their preoperative workup.

“This indicates the high level of openness to performing internal levator aponeurosis advancement surgeries,” the study authors said.

The evaluators established a correlation between a surgeon’s years out of fellowship and the probability that he or she would perform internal levator aponeurosis advancement surgery, noting an apparent association “between nonperformance of internal levator aponeurosis advancement surgery and increasing years out of practice.”