Objective: To determine whether an adjustable suture technique is clin
ically useful in levator recession surgery. Design: Consecutive clinic
al series. Setting: Inpatient hospital and ambulatory surgical center.
Participants: Ten patients who were undergoing levator recession surg
ical procedures for correction of eyelid retraction constituted the gr
oup of subjects of this study. Outcome Measures: Outcome measures incl
uded margin-reflex Results: Postoperative margin-reflex distance and p
alpebral fissure measurements were within 0.5 mm of the desired eyelid
position in 10 of 14 procedures and within 1 mm of the desired positi
on in 12 of 14 procedures. Conclusion: Adjustable sutures may be a use
ful adjunct in levator recession surgery.