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    By Santosh G. Honavar, MD; Fairooz P. Manjandavida, MD; Gangadhar Jalli, MD
    AAO 2014
    Oculoplastics/Orbit

    Congenital ptosis with Marcus-Gunn synkinesis is a management challenge. Surgical options include management of ptosis alone or both ptosis and synkinesis, depending on the severity and the patient's perception of cosmesis. Management options for severe ptosis coupled with severe synkinesis include unilateral or bilateral levator excision with fascia lata tarsofrontal sling. This video demonstrates a simplified surgical technique for unilateral levator excision and 800-µm closed-loop silicone tarsofrontal sling with impressive eyelid height symmetry and complete elimination of synkinesis.