The significance of minimal adjustments in the Muller's muscle and conjunctiva resection procedure to achieve the phenylephrine result

Orbit. 2015 Apr;34(2):79-83. doi: 10.3109/01676830.2014.999287. Epub 2015 Mar 25.

Abstract

Purpose: To determine if adjusting the resection amount within a small range has a significant effect in the amount of lift achieved when performing the Muller's muscle and conjunctiva resection procedure (MMCR).

Methods: A retrospective chart review was performed analyzing 102 eyelids of 68 patients with involutional blepharoptosis that had a MMCR resection amount ranging from 8.0-9.5 mm performed by a single surgeon (P.S.)

Results: The average lift for all resections was 2.30 mm. When comparing amongst all resection groups, there was no significant difference in the amount of lift obtained (p = 0.2454).

Conclusion: When performing the MMCR procedure, adjusting the resection amount within a small range of 8.0-9.5 mm does not affect the amount of lift achieved.

Keywords: Blepharoptosis; Muller’s muscle and conjunctiva resection; ptosis.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Blepharoplasty
  • Blepharoptosis / diagnosis
  • Blepharoptosis / physiopathology
  • Blepharoptosis / surgery*
  • Conjunctiva / surgery*
  • Eyelids / drug effects
  • Eyelids / physiopathology
  • Eyelids / surgery*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Oculomotor Muscles / surgery*
  • Phenylephrine*
  • Retrospective Studies
  • Sympathomimetics*
  • Young Adult

Substances

  • Sympathomimetics
  • Phenylephrine