title: Clinical effects of conjunctiva-Müller muscle resection in anophthalmic ptosis.
abstract: OBJECTIVE
  To evaluate the clinical effects of conjunctiva-Muller muscle resection through conjunctival incision in anophthalmic patients with mild ptosis.
  
  
  METHODS
  Conjunctiva-Müller muscle resection was performed by one surgeon in 8 patients (8 eyes) who had received evisceration or enucleation and responded to 10% phenylephrine solution to correct ptosis. The average age of the patients was 35.87+/-13.4 years. Ptosis was seen from 1 to 34 months after evisceration or enucleation. The preoperative MRD 1 was -2 to 0.5 mm (average: -0.25+/-1.10 mm) and the difference of MRD 1 between before and after 10% phenylephrine use was 2.56+/-0.98 mm. The Müller muscle was resected 7.5 to 9 mm through conjunctival incision during surgery to match the MRD 1 of sound eye. Mean follow-up period after the operation was 2 to 16 months (average: 8.1 months).
  
  
  RESULTS
  Postoperatively, the MRD 1 increased by 1.81+/-0.88 mm on the average, corresponding to the improvement in lid elevation after the use of 10% phenylephrine performed before resection. Surgery was successful in most patients, and postoperative difference in MRD 1 was less than 1 mm from the sound eye. No special postoperative complication was observed.
  
  
  CONCLUSIONS
  Conjunctiva-Müller muscle resection is one of the effective methods of correcting mild ptosis in anophthalmic patients.
authors.affiliation: Department of Ophthalmology, College of Medicine, Pochun CHA University, Pundang CHA Hospital, Sungnam, Korea.
authors.forename: Sung Woo
authors.initials: SW
authors.lastname: Ha
authors.forename: Jong Mi
authors.initials: JM
authors.lastname: Lee
authors.forename: Woo Jin
authors.initials: WJ
authors.lastname: Jeung
authors.forename: Hee Bae
authors.initials: HB
authors.lastname: Ahn
mesh_terms: D000328:Adult; D000853:Anophthalmos / Q000150:complications*; D001763:Blepharoptosis / Q000209:etiology / Q000601:surgery*; D003228:Conjunctiva / Q000601:surgery*; D005143:Eyelids / Q000503:physiopathology; D005152:Facial Muscles / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009119:Muscle Contraction; D013508:Ophthalmologic Surgical Procedures / Q000379:methods*; D013997:Time Factors; D016896:Treatment Outcome