PMID: 3763156Aug 1, 1986Paper

Conjunctiva-Müller's muscle excision to correct anophthalmic ptosis

Ophthalmology
J W KareshD R Fett

Abstract

We treated 35 eyelids with ptosis and anophthalmos by resecting conjunctiva and Müller's muscle. Before surgical intervention all patients were evaluated by an experienced ocularist who, if necessary, modified or refit the prosthesis. All eyelids had a positive response to 10% phenylephrine hydrochloride. Preoperatively, the margin reflex distance-one (MRD-1) of the ptotic eyelids ranged from -2.0 to +3.5 mm. The amount of conjunctiva-Müller's muscle excision ranged from 7.25 to 9.25 mm. Following surgery, the average change in MRD-1 was 3.33 mm. Thirty-one eyelids (88.6%) achieved a post-operative level within 1 mm of the opposite eyelid. There were two overcorrections and two undercorrections. Postoperatively, no patients had any compromise of the superior fornix, socket dryness, or inability to retain their prosthesis. Resection of conjunctiva and Müller's muscle is a simple and effective method to treat ptosis associated with anophthalmos.

References

Nov 1, 1976·Plastic and Reconstructive Surgery·L M Vistnes

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Citations

Jul 30, 2005·Ophthalmic Plastic and Reconstructive Surgery·Heather C BaldwinRamona Khooshabeh
Mar 21, 2009·Ophthalmic Plastic and Reconstructive Surgery·Ilse Mombaerts, Erica Groet
Jul 16, 2009·Annals of Plastic Surgery·Hirohiko KakizakiDinesh Selva
Jul 7, 2011·Current Opinion in Ophthalmology·Richard C AllenJeffrey A Nerad
Mar 12, 2016·The Journal of Craniofacial Surgery·Kun Hwang, Yeong Seung Ko
Jun 27, 2007·Korean Journal of Ophthalmology : KJO·Sung Woo HaHee Bae Ahn
Mar 9, 2017·Ophthalmic Plastic and Reconstructive Surgery·Allen M Puttterman
Sep 16, 2017·Ophthalmic Plastic and Reconstructive Surgery·Daniel B RootmanRobert A Goldberg
Jan 16, 2018·Ophthalmic Plastic and Reconstructive Surgery·Joshua DanDaniel B Rootman
May 23, 2001·Archives of Facial Plastic Surgery·M MercandettiA J Cohen
Apr 29, 2021·Facial Plastic Surgery Clinics of North America·Liza M Cohen, Daniel B Rootman

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