Modification of the Müller's muscle-conjunctival resection operation for blepharoptosis.
We used a modified Müller's muscle-conjunctival resection operation to correct cases of minimal blepharoptosis with good levator function. After we everted the eyelid, we placed a marking suture through the conjunctiva and Müller's muscle 4 mm above the superior tarsal border. The suture was used to tent up Müller's muscle and the conjunctiva from the underlying levator aponeurosis, facilitating placement of a resection clamp. These improvements ensure excision of the proper amount of tissue and reduce intraoperative trauma. Eighteen (95%) of 19 eyelids treated with this modification were cosmetically acceptable.
D000293:Adolescent; D000328:Adult; D000368:Aged; D001763:Blepharoptosis / Q000601:surgery*; D003228:Conjunctiva / Q000601:surgery*; D005143:Eyelids / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged; D009132:Muscles / Q000601:surgery*