Müller muscle-conjunctiva resection to correct ptosis in high-risk patients

Kevin S. Michels, M. Reza Vagefi, Eric Steele, Orin M. Zwick, Jesus J. Torres, Stuart R. Seiff, Roger Dailey

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

PURPOSE: Müller muscle-conjunctiva resection could be seen as a relative contraindication in patients with a prior history of a glaucoma filtering procedure, corneal disease, or corneal surgery. The concern centers around the theoretical risk of bleb-related complications or corneal damage from the palpebral conjunctival sutures. Our study aimed to determine whether any bleb- or cornea-related complications arose in patients who underwent Müller muscle-conjunctiva resection for ptosis correction. METHODS: A retrospective chart review was performed on 2 practices of oculofacial plastic surgeons from 2000 to 2006, including patients who had ptosis correction by Müller muscle-conjunctiva resection. Patients with a prior history of a glaucoma filtering procedure, corneal disease, or corneal surgery were identified. Each case was reviewed to determine whether any bleb- or cornea-related complications occurred. The postoperative improvement of ptosis measured by interpalpebral distance or margin reflex distance-1 also was noted. RESULTS: Forty-three patients and 55 eyes with a history of a glaucoma filtering procedure (13 patients/15 eyes), corneal disease (1 patient/1 eye), or corneal surgery (29 patients/39 eyes) who underwent Müller muscle-conjunctiva resection were identified. The average follow-up time was 212.4 days. No bleb-related complications occurred. One patient with a history of Reis-Bücklers dystrophy experienced a corneal abrasion. Fifty-two of 55 patients had objective improvement of their ptosis. CONCLUSIONS: Müller muscle-conjunctiva resection can provide an effective means for ptosis repair in patients with a prior history of a glaucoma filtering procedure, corneal disease, or corneal surgery. One temporary postoperative corneal complication occurred in our series.

Original languageEnglish (US)
Pages (from-to)363-366
Number of pages4
JournalOphthalmic Plastic and Reconstructive Surgery
Volume23
Issue number5
DOIs
StatePublished - Sep 2007

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Conjunctiva
Muscles
Corneal Diseases
Blister
Glaucoma
Cornea
Eye Diseases
Eyelids
Sutures
Reflex

ASJC Scopus subject areas

  • Ophthalmology
  • Surgery

Cite this

Müller muscle-conjunctiva resection to correct ptosis in high-risk patients. / Michels, Kevin S.; Vagefi, M. Reza; Steele, Eric; Zwick, Orin M.; Torres, Jesus J.; Seiff, Stuart R.; Dailey, Roger.

In: Ophthalmic Plastic and Reconstructive Surgery, Vol. 23, No. 5, 09.2007, p. 363-366.

Research output: Contribution to journalArticle

Michels, Kevin S. ; Vagefi, M. Reza ; Steele, Eric ; Zwick, Orin M. ; Torres, Jesus J. ; Seiff, Stuart R. ; Dailey, Roger. / Müller muscle-conjunctiva resection to correct ptosis in high-risk patients. In: Ophthalmic Plastic and Reconstructive Surgery. 2007 ; Vol. 23, No. 5. pp. 363-366.
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