What is Fasanella-Servat procedure?

In the basic Fasanella-Servat procedure, the eyelid is gently everted over a Desmarres retractor, and local anesthesia consisting of 2% xylocaine with 1:100,000 epinephrine is infiltrated subconjunctivally above the superior border of the tarsal plate.

What is phenylephrine test?

In patients with mild to moderate upper eyelid ptosis, phenylephrine eyedrops are used to assess whether ptosis correction is achievable with a Müller’s muscle-conjunctival resection (MMCR). As an alpha-adrenergic agonist, phenylephrine stimulates the sympathetically innervated Müller’s muscle when applied topically.

What is Frontalis suspension?

Frontalis suspension is a commonly used surgery that is indicated in patients with blepharoptosis and poor levator muscle function. This surgery connects the eyelid to the brow with a sling material and utilizes the power of the frontalis muscle to elevate the poorly functioning eyelid.

What kind of surgery is Fasanella Servat for?

Fasanella Servat procedure is a corrective surgery to address moderate amount of ptosis with good levator function. This article elaborates its history, mechanism of action, indications, surgical steps, complications, contraindications, and efficacy.

Are there any side effects to the fasenella Servat procedure?

Suture granuloma and postoperative hemorrhage are also rare complications. The procedure should be avoided in patients with cicatricial diseases such as pemphigoid, conjunctival scarring, amyloidosis, lymphoma, trachoma, and conjunctival granuloma. Keratitis sicca, filtering blebs, and other significant corneal diseases are also contraindications.

How is fasenella Servat used to treat ptosis?

With careful patient selection and surgical mastery, the Fasenella Servat procedure is a quick, efficient, and successful technique to treat patients with upper lid ptosis of various etiologies. 1.0 1.1 1.2 Fasanella, R. M., and Javier Servat. “Levator resection for minimal ptosis: another simplified operation.”