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The eyelid opens when the tarsal plate behind the eyelid, to which the aponeurosis extending from the levator palpebra is attached, is lifted by the contraction of the levator palpebra muscle. However, if there is a problem with the levator palpebra muscle, there is a problem with the nerves that control the levator palpebra muscle, or the aponeurosis attached to the tarsal plate is stretched, the eyelid may not open sufficiently. .. It is difficult to see if the eyelids do not rise above the pupils (black eyes), and symptoms such as headaches and stiff shoulders may occur because the muscles of the forehead try to lift the eyelids to secure the field of vision. Most cases of ptosis are caused by the stretching of the aponeurosis attached to the tarsal plate. At our clinic, we perform treatment to make it easier to open the eyelids by rolling the stretched aponeurosis forward and attaching it to the original position of the tarsal plate (anterior aponeurosis).
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