Skip to main content

The Fasanella–Servat Procedure for Ptosis

  • Chapter
  • First Online:
Evaluation and Management of Blepharoptosis

Abstract

The Fasanella–Servat procedure is useful in correcting ptosis of the upper eyelid. It does so by removing conjunctiva, Müller’s muscle, and tarsus using a posterior eyelid approach. A graded algorithm provides a high success rate in patients who have ptosis with good levator muscle function. The surgery is quick and atraumatic and can be used in frail and elderly patients. The surgery can be used to correct upper eyelid contour abnormalities.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 189.00
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Fasanella RM, Shields MB. Obituaries – Javier Servat, MD. Arch Ophthalmol. 2002;120:104.

    Article  Google Scholar 

  2. Fasanella RM, Servat J. Levator resection for minimal ptosis: another simplified operation. Arch Ophthalmol. 1961;65:493–6.

    Article  CAS  PubMed  Google Scholar 

  3. Beard C. Ptosis. 3rd ed. St. Louis: The C.V. Mosby Company; 1981. p. 232–66.

    Google Scholar 

  4. Putterman AM, Urist MJ. Müller’s muscle-conjunctival resection ptosis procedure. Ophthalmic Surg. 1978;9(3):27–32.

    CAS  PubMed  Google Scholar 

  5. Putterman AM. A clamp for strengthening Müller’s muscle in the treatment of ptosis. Modification, theory, and clamp for the Fasanella-Servat ptosis operation. Arch Ophthalmol. 1972;87(6):665–7.

    Article  CAS  PubMed  Google Scholar 

  6. Buckman G, Jakobiec FA, Hyde K, et al. Success of the Fasanella-Servat operation independent of Müller’s smooth muscle excision. Ophthalmology. 1989;96:413–8.

    Article  CAS  PubMed  Google Scholar 

  7. Pang NK, Newsom RW, Oestreicher JH, Chung HT, Harvey JT. Fasanella-Servat procedure: indications, efficacy, and complications. Can J Ophthalmol. 2008;43(1):84–8.

    Article  PubMed  Google Scholar 

  8. Georgescu D, Cole E, Epstein G, Fountain T, Migliori M, Nguyen Q, et al. Müller muscle-conjunctiva resection for blepharoptosis in patients with glaucoma filtering blebs. Ophthal Plast Reconstr Surg. 2007;23(4):285.

    Article  PubMed  Google Scholar 

  9. Skibell BC, Harvey JH, Oestreicher JH, Howarth D, Gibbs A, Wegrynowski T, et al. Adrenergic receptors in the ptotic human eyelid: correlation with phenylephrine testing and surgical success in ptosis repair. Ophthal Plast Reconstr Surg. 2007;23(5):367–71.

    Article  PubMed  Google Scholar 

  10. Crawford JS. Repair of blepharoptosis with a modification of the Fasanella-Servat operation. Can J Ophthalmol. 1973;8(1):19–23.

    CAS  PubMed  Google Scholar 

  11. Bodian M. A revised Fasanella-Servat ptosis operation. Ann Ophthalmol. 1975;7(4):603–5.

    CAS  PubMed  Google Scholar 

  12. Fox SA. A modified Fasanella-Servat procedure for ptosis. Arch Ophthalmol. 1975;93(8):639–40.

    Article  CAS  PubMed  Google Scholar 

  13. Lauring L. Blepharoptosis correction with the sutureless Fasanella-Servat operation. Arch Ophthalmol. 1977;95:671–4.

    Article  CAS  PubMed  Google Scholar 

  14. Gupta VP, Aggarwal R, Mathur SP. Blepharoptosis repair by modified sutureless Fasanella-Servat Operation (F.S.O.) – a large series of 50 cases. Indian J Ophthalmol. 1992;40:86–9.

    CAS  PubMed  Google Scholar 

  15. Betharia SM. Transconjunctival levator resection: a modified simple technique. Ann Ophthalmol. 1988;20(6):234–8.

    CAS  PubMed  Google Scholar 

  16. Carroll RP. Preventable problems following the Fasanella-Servat procedure. Ophthalmic Surg. 1980;11:44–51.

    CAS  PubMed  Google Scholar 

  17. Personal Communication, Dr. J. Oestreicher.

    Google Scholar 

  18. Beard C. Blepharoptosis repair by modified Fasanella-Servat operation. Am J Ophthalmol. 1970;69(5):850–7.

    Article  CAS  PubMed  Google Scholar 

  19. Dortzbach RK, Kronish JW. Early revision in the office for adults after unsatisfactory blepharoptosis correction. Am J Ophthalmol. 1993;115:68–75.

    Article  CAS  PubMed  Google Scholar 

  20. Jordan DR, Anderson RL. A simple procedure for adjusting eyelid position after aponeurotic ptosis surgery. Arch Ophthalmol. 1987;105:1288–91.

    Article  CAS  PubMed  Google Scholar 

  21. Rosenberg C, Lelli Jr GJ, Lisman RD. Early postoperative adjustment of the Fasanella-Servat procedure: review of 102 consecutive cases. Ophthal Plast Reconstr Surg. 2009;25(1):19–22.

    Article  PubMed  Google Scholar 

  22. Sampath R, Saunders DC, Leatherbarrow B. The Fasanella-Servat procedure: a retrospective study. Eye. 1995;9(Pt 1):124–5.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to John T. Harvey .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2011 Springer Science+Business Media, LLC

About this chapter

Cite this chapter

Jebodhsingh, K., Oestreicher, J., Harvey, J.T. (2011). The Fasanella–Servat Procedure for Ptosis. In: Cohen, A., Weinberg, D. (eds) Evaluation and Management of Blepharoptosis. Springer, New York, NY. https://doi.org/10.1007/978-0-387-92855-5_21

Download citation

  • DOI: https://doi.org/10.1007/978-0-387-92855-5_21

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-92854-8

  • Online ISBN: 978-0-387-92855-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics