caa a22 4500 463210190 CHVBK 20180405153138.0 cr unu---uuuuu 170326e20070401xx s 000 0 eng 10.1007/s00238-007-0107-0 doi (NATIONALLICENCE)springer-10.1007/s00238-007-0107-0 A guide for determining center of levator aponeurosis and palpebral fissure width in blepharoptosis surgery [Elektronische Daten] [H. Kakizaki, M. Zako, M. Iwaki] Formation of a natural upper eyelid curvature and elevation of the upper eyelid have to be accomplished in blepharoptosis surgery. We describe an easy and reproducible method to obtain a natural eyelid curvature. First, the mechanical center of the levator aponeurosis, representing the point where the surgeon can feel equal resistances from the medial and lateral sides of the aponeurosis, was determined. Then, the supra-pupillary point on eye opening, namely the center of the palpebral fissure, was secured by pulling the eyelid margin. When correctly pulled, the eyelid margin formed an isosceles triangle. The center of the levator aponeurosis was then fixed on the tarsus corresponding to the supra-pupillary point on eye opening. After determining the apex of the upper eyelid, additional sutures were made to obtain a quadratic curve of the upper eyelid, resulting in a natural eyelid curvature. Springer-Verlag, 2007 Blepharoptosis surgery nationallicence Natural upper eyelid curvature nationallicence Levator aponeurosis nationallicence Kakizaki H. Department of Ophthalmology, Aichi Medical University, Nagakute-cho, Aichi-gun, 480-1195, Aichi-ken, Japan aut Zako M. Department of Ophthalmology, Aichi Medical University, Nagakute-cho, Aichi-gun, 480-1195, Aichi-ken, Japan aut Iwaki M. Department of Ophthalmology, Aichi Medical University, Nagakute-cho, Aichi-gun, 480-1195, Aichi-ken, Japan aut European Journal of Plastic Surgery Springer-Verlag 29/7(2007-04-01), 309-311 0930-343X 29:7<309 2007 29 238 https://doi.org/10.1007/s00238-007-0107-0 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00238-007-0107-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kakizaki H. Department of Ophthalmology, Aichi Medical University, Nagakute-cho, Aichi-gun, 480-1195, Aichi-ken, Japan aut NATIONALLICENCE 700 1- Zako M. Department of Ophthalmology, Aichi Medical University, Nagakute-cho, Aichi-gun, 480-1195, Aichi-ken, Japan aut NATIONALLICENCE 700 1- Iwaki M. Department of Ophthalmology, Aichi Medical University, Nagakute-cho, Aichi-gun, 480-1195, Aichi-ken, Japan aut NATIONALLICENCE 773 0- European Journal of Plastic Surgery Springer-Verlag 29/7(2007-04-01), 309-311 0930-343X 29:7<309 2007 29 238 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer