Surgical treatment of blepharoptosis in myasthenic patients

Many patients with myasthenia gravis (MG) experience longstanding blepharoptosis. The condition substantially reduces the patient's quality of life (QOL). Blepharoptosis surgery for patients with MG is a good choice of treatment, although only a few reviews have recommended surgery as a suitable treatment for blepharoptosis with MG. The surgery is effective if performed by a trained plastic surgeon or oculoplastic surgeon under appropriate supervision of a neurologist. It is effective especially for patients who have residual blepharoptosis despite multiple medical treatments. The present chapter aims to introduce the author's surgical criteria, procedure decision-making, actual surgical procedures, and precautions for medically refractory myasthenic blepharoptosis.