| Results of Conjunctiva-Muller Muscle Resection in Mild Eyelid Ptosis. |
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Joon Sung Bae, Myung Sook Ha, Ji Young Lee, Sung Joo Kim, Jae Woo Jang |
1Department of Ophthalmology, Konyang University, Kim's Eye Hospital, Seoul, Korea. jjw@kimeye.com
2Department of Ophthalmology, College of Medicine, Konyang University, Daejeon, Korea. |
| 경도 눈꺼풀처짐 환자에서 결막뮬러근 절제술의 결과 |
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배준성1ㆍ하명숙2ㆍ이지영1ㆍ김성주1ㆍ장재우1 |
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Department of Ophthalmology, Konyang University, Kim’s Eye Hospital1, Seoul, Korea / Department of Ophthalmology, College of Medicine, Konyang University2, Daejeon, Korea |
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| Abstract |
PURPOSE
To assess surgical outcomes after adjusting the amount of resection of the conjunctiva and the Muller muscle according to 10% phenylephrine test results. METHODS: The charts of 32 patients (32 eyes) with mild upper eyelid ptosis were reviewed retrospectively. They all had conjunctiva-Muller muscle resections. A preoperative 10% phenylephrine test was performed to determine the resection amount of the Muller muscle and conjunctiva. An 8 mm resection was performed when phenylephrine raised the ptotic lid to the same level as that of the contralateral lid. A 7 mm resection was performed when the ptotic lid was raised to a level higher than that of the contralateral lid. A 9 mm resection was performed when the ptotic lid was raised to a level not quite to the level of the contralateral lid. RESULTS: Of the 32 patients, 28 were female and 4 were male. The mean age of the patients was 30.8+/-10.2 years. Patients were followed up for an average of 40.2+/-36.8 days, postoperatively. Postoperative upper lid positions were exactly symmetrical in 26 of the 32 patients. Five patients showed undercorrection, and 1 patient showed overcorrection. CONCLUSIONS: Excellent results were obtained by resecting the conjunctiva and Muller muscle according to the phenylephrine reaction of a ptotic eyelid. |
| Key Words:
Conjunctiva-Muller muscle resection;Phenylephrine test;Ptosis |
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