Müller muscle-conjunctiva resection for blepharoptosis in patients with glaucoma filtering blebs.
OBJECTIVE
To study the safety and efficacy of Müller muscle-conjunctiva resection (MMCR) for blepharoptosis in patients with functional glaucoma-filtering blebs.


METHODS
Retrospective chart review of patients who underwent MMCR in the presence of a functioning filtering bleb. Patients offered MMCR all responded satisfactorily to preoperative topical phenylephrine hydrochloride testing. Using a similar technique, MMCR was performed by 6 surgeons at 6 different centers. Two patients had simultaneous upper blepharoplasty. Postoperative slit lamp examination was performed to assess for bleb injury or infection. In addition, all patients had routine glaucoma follow-up visits to assess for bleb functioning.


RESULTS
Nine patients with functional filtering blebs tolerated MMCR well and had no bleb complications. All blebs remained functional after surgery. One patient had anterior chamber reaction for 10 days and another patient had foreign body sensation for 6 weeks. At 9.2-months mean follow-up time, the mean change in margin reflex distance-1 was 2.9 mm.


CONCLUSIONS
MMCR may be safe and effective in the setting of a glaucoma-filtering bleb.
Georgescu
Dan
D
University of Utah Moran Eye Center, Salt Lake City, Utah 84132, USA. dan.georgescu@hsc.utah.edu
Cole
Eric
E
Epstein
Gil
G
Fountain
Tamara
T
Migliori
Michael
M
Nguyen
Quang
Q
Mannor
Geva
G
Weinberg
David
D
D001763:Blepharoptosis / Q000175:diagnosis / Q000601:surgery*; D003228:Conjunctiva / Q000601:surgery*; D005143:Eyelids / Q000187:drug effects / Q000601:surgery*; D018463:Filtering Surgery; D005901:Glaucoma / Q000601:surgery*; D006801:Humans; D009801:Oculomotor Muscles / Q000601:surgery*; D010656:Phenylephrine; D012189:Retrospective Studies; D013536:Suture Techniques
D010656:Phenylephrine