J Korean Ophthalmol Soc.  2008 Sep;49(9):1365-1370.

Results of Conjunctiva-Muller Muscle Resection in Mild Eyelid Ptosis

• Bae JS
• Ha MS
• Lee JY
• Kim SJ
• Jang JW

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.

Keyword

Conjunctiva-Muller muscle resection; Phenylephrine test; Ptosis

MeSH Terms

Blepharoptosis
Conjunctiva
Eyelids
Female
Humans
Male
Muscles
Phenylephrine
Polyenes
Retrospective Studies
Phenylephrine
Polyenes

Figure

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  Figure 1. Before 10% phenylephrine test (A) and after the test (B).

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  Figure 2. The preoperative (A) and postoperative (B) photographs of a symmetrically corrected patient.

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  Figure 3. The preoperative (A) and postoperative (B) photographs of an undercorrected patient.

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  Figure 4. The preoperative (A) and postoperative (B) photographs of an overcorrected patient.

Reference

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