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nu for adults living with DS-AD was developed to facilitate GAS. Incorporating expert clinician opinion and input from caregivers of adults with DS-AD identified meaningful items that incorporate patient/caregiver perspectives. The results of a technique with a double reinsertion of the aponeurosis to the tarsus and aponeurosis to Whitnall's ligament (ATW) were compared with a simple reinsertion of the aponeurosis to the tarsus (AT) in acquired aponeurotic palpebral ptosis surgery. Analytical, observational, retrospe