上睑下垂是一种常见的眼睑畸形,有碍美容和影响视力,可造成弱视。虽矫治方法颇多,但各有利弊。作者于1985年10月～1989年10月采用眼轮匝肌条带移植额肌肌膜下改良术治疗重症上睑下垂,效果良好。1 资料和方法:本组22例,25只眼,男性14例、女性8例。年龄7～43岁。先天性上睑下垂15例、16只眼。后天性上睑下垂6例、7只眼。进行性眼肌麻痹1例2只眼。本组病例以拇指重压患者眼眉弓法检查提上睑肌功能,全部确定为完全性上睑下垂。其中包括上睑尚能上举1～2mm 2例2只眼,22例中遮盖瞳孔中央以下重度下垂者20例、23只眼。手术方法:成人使用局部麻醉,儿童不易合作者使用全麻。①先将角膜板放入结膜囊内,沿睑缘上2～3mm处做一水平皮肤切口深达肌层;②剥离皮下组织至睑板上 Ptosis is a common eyelid deformity, hinder beauty and affect vision, can cause amblyopia. Although a lot of correction methods, but each has its own advantages and disadvantages. The author from October 1985 to October 1989 using the orbicularis oculi muscle transplantation for frontal muscle suture enhancement of severe blepharoptosis, the effect is good. 1 Materials and Methods: The group of 22 patients, 25 eyes, 14 males and 8 females. Age 7 to 43 years old. Congenital ptosis in 15 cases, 16 eyes. Acquired ptosis in 6 cases, 7 eyes. Progressive ophthalmoplegia in 1 case 2 eyes. This group of patients with thumb pressure in patients with eyebrow eye exam levator muscle function, all identified as complete ptosis. Including the upper eyelid is still on the move 1 ~ 2mm 2 cases 2 eyes, 22 cases covered in the pupil central severe prolapse in 20 cases, 23 eyes. Surgical methods: adults use local anesthesia, children are not easy to cooperate with general anesthesia. ① first corneal plate into the conjunctival sac, along the eyelid 2 ~ 3mm at a level of skin incision deep muscularis; ② stripping of subcutaneous tissue to the tarsus