Transconjunctival Blepharoptosis Surgery: A Review of Posterior Approach Ptosis Surgery and Posterior Approach White-Line Advancement

Vikesh Patel, Raman Malhotra*
CorneoPlastic Unit, Queen Victoria Hospital, East Grinstead, RH19 3DZ, UK

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© Patel and Malhotra; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the Corneoplastic Unit, Queen Victoria Hospital, Holtye Road, East Grinstead, West Sussex, RH19 3DZ, UK; Tel: 01342 414549; Fax: 01342 414106; E-mail:


Posterior approach blepharoptosis surgery, via the transconjunctival route, was probably the first method of surgery employed to shorten the levator palpebrae superioris (LPS) muscle. A review of the literature demonstrates how surgery has evolved since Blaskovics’ first described his technique in 1923. We describe our newer method of posterior approach white-line advancement blepharoptosis repair which is now an option in the majority of aponeurotic ptosis with moderate to good levator function.

Keywords:: Transconjunctival Blepharoptosis Surgery, Ptosis Surgery, White-Line Advancement, Müller,s muscle conjunctival resection.