Abstract
The Müller’s muscle-conjunctiva resection ptosis procedure is recommended for patients with blepharoptosis whose upper eyelids elevate to a normal level when 10% phenylephrine drops are applied to the upper ocular fornix. Candidates usually have minimal congenital ptosis and varying degrees of acquired ptosis. The advantage over the Fasanella procedure is that Müller’s muscle-conjunctiva resection preserves the tarsus, and the advantage over the levator aponeurosis procedure is that it produces predictable results.
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Putterman AM, Urist MJ. Müller’s muscle-conjunctival resection: technique for treatment of blepharoptosis. Arch Ophthalmol. 1975;93:619.
Glatt HJ, Fett DR, Putterman AM. Comparison of 2.5% and 10% phenylephrine in the elevation of upper eyelids with ptosis. Ophthalmic Surg. 1990;21:173.
Putterman AM, Fett DR. Müller’s muscle in the treatment of upper eyelid ptosis: a ten-year study. Ophthalmic Surg. 1986;17:354–6.
Putterman AM. Eyelid finger manipulation in the treatment of overcorrected Blepharoptosis and post-blepharoplasty Ectropion-retraction. Plast Reconstr Surg. 2015;135(6):1073E–4E.
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Video 20.1
Müller’s muscle-conjunctiva resection. Courtesy of Richard C. Allen, MD, PhD, FACS. http://webeye.ophth.uiowa.edu/eyeforum/video/plastics/1/muller-muscle-conj-resect-1.htm (MP4 91458 kb)
Video 20.2
Müller’s muscle-conjunctiva resection. Courtesy of Richard C. Allen, MD, PhD, FACS. http://webeye.ophth.uiowa.edu/eyeforum/video/plastics/1/muller-muscle-conj-resect-2.htm (MP4 98425 kb)
Video 20.3
Müller’s muscle-conjunctiva resection with externalization of suture knots. Courtesy of Richard C. Allen, MD, PhD, FACS. http://webeye.ophth.uiowa.edu/eyeforum/video/plastics/7/11-MMCR-2-externalization-of-suture-knots.htm (MP4 106686 kb)
Video 20.4
Müller’s muscle-conjunctiva resection with burying of suture knots under conjunctiva. Courtesy of Richard C. Allen, MD, PhD, FACS. http://webeye.ophth.uiowa.edu/eyeforum/video/plastics/7/12-MMCR-w-burying-of-suture.htm (MP4 132401 kb)
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Putterman, A.M. (2018). Müller’s Muscle-Conjunctiva Resection. In: Levine, M., Allen, R. (eds) Manual of Oculoplastic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-74512-1_20
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DOI: https://doi.org/10.1007/978-3-319-74512-1_20
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