Results of Conjunctiva-Muller Muscle Resection in Mild Eyelid Ptosis.
10.3341/jkos.2008.49.9.1365
- Author:
Joon Sung BAE
1
;
Myung Sook HA
;
Ji Young LEE
;
Sung Joo KIM
;
Jae Woo JANG
Author Information
1. Department of Ophthalmology, Konyang University, Kim's Eye Hospital, Seoul, Korea. jjw@kimeye.com
- Publication Type:Original Article
- Keywords:
Conjunctiva-Muller muscle resection;
Phenylephrine test;
Ptosis
- MeSH:
Blepharoptosis;
Conjunctiva;
Eyelids;
Female;
Humans;
Male;
Muscles;
Phenylephrine;
Polyenes;
Retrospective Studies
- From:Journal of the Korean Ophthalmological Society
2008;49(9):1365-1370
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To assess surgical outcomes after adjusting the amount of resection of the conjunctiva and the Muller muscle according to 10% phenylephrine test results. METHODS: The charts of 32 patients (32 eyes) with mild upper eyelid ptosis were reviewed retrospectively. They all had conjunctiva-Muller muscle resections. A preoperative 10% phenylephrine test was performed to determine the resection amount of the Muller muscle and conjunctiva. An 8 mm resection was performed when phenylephrine raised the ptotic lid to the same level as that of the contralateral lid. A 7 mm resection was performed when the ptotic lid was raised to a level higher than that of the contralateral lid. A 9 mm resection was performed when the ptotic lid was raised to a level not quite to the level of the contralateral lid. RESULTS: Of the 32 patients, 28 were female and 4 were male. The mean age of the patients was 30.8+/-10.2 years. Patients were followed up for an average of 40.2+/-36.8 days, postoperatively. Postoperative upper lid positions were exactly symmetrical in 26 of the 32 patients. Five patients showed undercorrection, and 1 patient showed overcorrection. CONCLUSIONS: Excellent results were obtained by resecting the conjunctiva and Muller muscle according to the phenylephrine reaction of a ptotic eyelid.
