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Tarsal–Conjunctival–Müller’s Muscle Resection (Fasanella–Servat Operation)

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Abstract

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.

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References

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Video 21.1

Fasanella–Servat procedure. Courtesy of Richard C. Allen, MD, PhD, FACS. http://webeye.ophth.uiowa.edu/eyeforum/video/plastics/1/Fasanella-servat-procedure.htm (MP4 148056 kb)

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Servat, J. (2018). Tarsal–Conjunctival–Müller’s Muscle Resection (Fasanella–Servat Operation). In: Levine, M., Allen, R. (eds) Manual of Oculoplastic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-74512-1_21

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  • DOI: https://doi.org/10.1007/978-3-319-74512-1_21

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-74511-4

  • Online ISBN: 978-3-319-74512-1

  • eBook Packages: MedicineMedicine (R0)

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