Open sky Müller muscle-conjunctival resection in phenylephrine test-negative blepharoptosis patients.
OBJECTIVE
To assess the efficacy of Müller muscle-conjunctival resection in patients in whom the phenylephrine test was negative.


METHODS
A non-randomized, prospective clinical trial was conducted on 20 eyelids of 15 consecutive patients with blepharoptosis who showed no change in the upper eyelid margin-reflex distance (MRD1) following instillation of topical phenylephrine. The technique used was open sky Müller muscle-conjunctival resection.


RESULTS
The mean MRD1 increased by 3.3 mm. No patient required augmentation of the procedure, and all patients had excellent appearance of their skin crease and eyelid contour. No complications arose from the procedure, including no incidence of dry eye symptoms or signs.


CONCLUSIONS
Müller muscle-conjunctival resection may offer a safe and effective means of treating blepharoptosis despite a negative phenylephrine test.
Baldwin
Heather C
HC
Buckinghamshire Hospitals NHS Trust, Stoke Mandeville and Wycombe General Hospitals. baldwintanner@aol.com
Bhagey
Joy
J
Khooshabeh
Ramona
R
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001763:Blepharoptosis / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery*; D002675:Child, Preschool; D003228:Conjunctiva / Q000601:surgery*; D003941:Diagnostic Techniques, Ophthalmological; D005143:Eyelids / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D009801:Oculomotor Muscles / Q000601:surgery*; D013508:Ophthalmologic Surgical Procedures; D010656:Phenylephrine; D011446:Prospective Studies; D013566:Sympathomimetics
D013566:Sympathomimetics; D010656:Phenylephrine