Tarsal–Conjunctival–Müller’s Muscle Resection (Fasanella–Servat Operation)
The Fasanella–Servat operation is one of the simplest operations for ptosis and is used mainly in mild to moderate blepharoptosis with good levator function. It can correct up to 2 mm of congenital ptosis and 2.5–4 mm of acquired ptosis. Since its creation in 1961, the operation has become more refined. Many of its modifications have been oriented at increasing the amount of correction of ptosis, secure a proper contour, and preventing ocular surface abrasions. Proper patient selection is fundamental for its effectiveness.
KeywordsPtosis Fasanella Servat Tarsectomy Phenylephrine test Conjunctivo-Müllerectomy Putterman clamp
- 5.Callahan A. Ptosis associated with congenital defects; blepharophimosis, epicanthus and other syndromes. In: Symposium on surgery of the orbit and adnexa. Transactions New Orleans academy of ophthalmology. St. Louis: C. V. Mosby Company; 1974.Google Scholar