Clinical Effects of Conjunctiva-Muller Muscle Resection in Anophthalmic Ptosis
Korean Journal of Ophthalmology
;
: 65-69, 2007.
Article
in English
| WPRIM
| ID: wpr-134246
ABSTRACT
PURPOSE:
To evaluate the clinical effects of conjunctiva-Muller muscle resection through conjunctival incision in anophthalmic patients with mild ptosis.METHODS:
Conjunctiva-Muller muscle resection was performed by one surgeon in 8 patients (8 eyes) who had received evisceration or enucleation and responded to 10% phenylephrine solution to correct ptosis. The average age of the patients was 35.87+/-13.4 years. Ptosis was seen from 1 to 34 months after evisceration or enucleation. The preoperative MRD 1 was -2 to 0.5 mm (average -0.25+/-1.10 mm) and the difference of MRD 1 between before and after 10% phenylephrine use was 2.56+/-0.98 mm. The Muller muscle was resected 7.5 to 9 mm through conjunctival incision during surgery to match the MRD 1 of sound eye. Mean follow-up period after the operation was 2 to 16 months (average 8.1 months).RESULTS:
Postoperatively, the MRD 1 increased by 1.81+/-0.88 mm on the average, corresponding to the improvement in lid elevation after the use of 10% phenylephrine performed before resection. Surgery was successful in most patients, and postoperative difference in MRD 1 was less than 1 mm from the sound eye. No special postoperative complication was observed.CONCLUSIONS:
Conjunctiva-Muller muscle resection is one of the effective methods of correcting mild ptosis in anophthalmic patients.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Ophthalmologic Surgical Procedures
/
Time Factors
/
Blepharoptosis
/
Anophthalmos
/
Follow-Up Studies
/
Treatment Outcome
/
Conjunctiva
/
Eyelids
/
Facial Muscles
/
Muscle Contraction
Type of study:
Observational study
/
Prognostic study
Limits:
Adult
/
Female
/
Humans
/
Male
Language:
English
Journal:
Korean Journal of Ophthalmology
Year:
2007
Type:
Article
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