Müller’s muscle-conjunctival resection for correction of recurrent congenital ptosis. Report of three cases

Müller’s muscle-conjunctival resection is a procedure for the correction of up to 3 mm of eyelid ptosis with short surgical and recovery times, and with a highly predictable outcome in patients with a positive phenylephrine test. Currently there are no reports on the literature about its use on patients with recurrent ptosis. We present three cases of recurrent congenital ptosis and fair levator function that underwent a successful Müller’s muscle-conjunctival resection. One of the main concerns of using such technique in previously operated patients is the risk of existing disruption of normal anatomy that may interfere with an adequate levator aponeurosis plication, an essential part of this surgery. These cases demonstrate that it is possible to perform a successful Müller’s muscle-conjunctival resection in patients with previous ptosis surgery and a positive phenylephrine test.