Open AccessMüllers MUSCLE‐CONJUNCTIVAL RESECTION PTOSIS PROCEDURE
Author(s) -
PUTTERMAN ALLEN M.
Publication year - 1985
Publication title -
australian and new zealand journal of ophthalmology
Language(s) - English
Resource type - Journals
eISSN - 1440-1606
pISSN - 0814-9763
DOI - 10.1111/j.1442-9071.1985.tb00419.x
Subject(s) - aponeurosis , eyelid , tarsus (eyelids) , medicine , ptosis , clamp , conjunctiva , resection , fornix , surgery , anatomy , fibrous joint , orbicularis oculi muscle , ophthalmology , pathology , clamping , hippocampus , endocrinology , mechanical engineering , engineering
The Müllers muscle‐conjunctival resection procedure is a relatively simple means of relieving upper eyelid ptosis. Candidates for the operation are chosen by placing several drops of 10% phenylephrine hydrochloride into the upper ocular fornix. If the upper lid elevates close to a norma! level after five minutes, the patient is selected for the operation. A specially designed clamp is applied to 6.5 to 9.5 mm of conjunctiva and müllers muscle above the superior tarsal border. A suture is run distal to the clamp, connecting conjunctiva and müllers muscle to the superior tarsal border, and then the tissues held in the clamp are resected. The müllers muscle‐conjunctival resection has advantages over the Fasanella procedure, because tarsus is preserved, and over the levator aponeurosis advancement and tuck procedures, because the results are much more predictable.