我们自1980年1月开始采用结膜、皮肤联合切口方法的提上睑肌缩短术治疗先天性上睑下垂26例,29眼有以下几点体会。①适应症的选择:本手术适于单侧或双侧先天性上睑下垂,提上睑肌仍有一定功能者。②局部麻醉不宜注射过多,否则眼睑肿胀及提上睑肌麻痹,使术中预测困难,影响手术效果。③识别眶膈和提上睑肌,上睑皮肤切开分离眼轮匝肌后用拉钩拉开创口上唇,即露出眶膈,将眶膈剪开即露出提上睑 We started from January 1980 conjunctiva, skin incision method of levator muscle shortening treatment of congenital ptosis in 26 cases, 29 eyes have the following experience. Indications of choice: This operation is suitable for unilateral or bilateral congenital ptosis, levator muscle still have some function. ② local anesthesia should not be injected too much, otherwise the eyelid swelling and levator muscle paralysis, intraoperative prediction difficulties, affecting the surgical results. ③ identify the orbital diaphragm and levator muscle, upper eyelid skin incision and separation of orbicularis muscle with a pull hook to pull open the upper lip, that is, expose the orbital septum, the orbital septum open to expose the upper eyelid