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Müller’s Muscle-Conjunctiva Resection

  • Allen M. Putterman
Chapter

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.

Keywords

Müller’s muscle Müller’s muscle-conjunctiva resection Ptosis Blepharoptosis Margin reflex distance 1 (MRD1Phenylephrine test 

Supplementary material

419986_5_En_20_MOESM1_ESM.mp4 (89.3 mb)
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)
419986_5_En_20_MOESM2_ESM.mp4 (96.1 mb)
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)
419986_5_En_20_MOESM3_ESM.mp4 (104.2 mb)
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)
419986_5_En_20_MOESM4_ESM.mp4 (129.3 mb)
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)

References

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    Putterman AM, Urist MJ. Müller’s muscle-conjunctival resection: technique for treatment of blepharoptosis. Arch Ophthalmol. 1975;93:619.CrossRefPubMedGoogle Scholar
  2. 2.
    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.PubMedGoogle Scholar
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    Putterman AM, Fett DR. Müller’s muscle in the treatment of upper eyelid ptosis: a ten-year study. Ophthalmic Surg. 1986;17:354–6.PubMedGoogle Scholar
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    Putterman AM. Eyelid finger manipulation in the treatment of overcorrected Blepharoptosis and post-blepharoplasty Ectropion-retraction. Plast Reconstr Surg. 2015;135(6):1073E–4E.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Ophthalmology, Professor of Ophthalmology and Co Director Oculofacial Plastic SurgeryThe University of Illinois College of MedicineChicagoUSA

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