Ophthalmic Surgery, Lasers and Imaging Retina

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Case Reports 

Müller Muscle Conjunctival Resection for Blepharoptosis in Patients With Poor to Fair Levator Function

Dan Georgescu, MD, PhD; Gil Epstein, MD, PhD; Tamara Fountain, MD; Michael Migliori, MD; Geva Mannor, MD; David Weinberg, MD

Abstract

ABSTRACT

It has been suggested that Müller muscle conjunctival resection might not be a good procedure for the treatment of blepharoptosis in patients with less than optimal levator function. This case series includes four eyelids (three patients) that had fair preoperative levator function (4 to 8 mm) and good response to phenylephrine. The mean preoperative levator function was 6.25 mm and the mean amount of resection was 10.25 mm. The mean preoperative marginal reflex distance was -0.50 mm and the mean postoperative marginal reflex distance was 3.38 mm. Müller muscle conjunctival resection may be effective for treating patients with fair levator function and satisfactory response to phenylephrine. [Ophthalmic Surg Lasers Imaging 2009;40:597-599.]

Abstract

ABSTRACT

It has been suggested that Müller muscle conjunctival resection might not be a good procedure for the treatment of blepharoptosis in patients with less than optimal levator function. This case series includes four eyelids (three patients) that had fair preoperative levator function (4 to 8 mm) and good response to phenylephrine. The mean preoperative levator function was 6.25 mm and the mean amount of resection was 10.25 mm. The mean preoperative marginal reflex distance was -0.50 mm and the mean postoperative marginal reflex distance was 3.38 mm. Müller muscle conjunctival resection may be effective for treating patients with fair levator function and satisfactory response to phenylephrine. [Ophthalmic Surg Lasers Imaging 2009;40:597-599.]

Authors

From the University of Utah Moran Eye Center (DG, DW), Salt Lake City, Utah; the Center for Facial Appearances (DG), Salt Lake City, Utah; Nova Southeastern University (GE), Fort Lauderdale-Davie, Florida; Rush University (TF), Chicago, Illinois; Brown University (MM), Providence, Rhode Island; and the Scripps Clinic (GM), La Jolla, California.

Accepted for publication September 18, 2008.

The authors have no financial or proprietary interest in the materials presented herein.

Address correspondence to Dan Georgescu, MD, PhD, Center for Facial Appearances, 1002 E. South Temple, Suite 308, Salt Lake City, UT 84102.

10.3928/15428877-20091030-12

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