Müller’s Muscle-conjunctival Resection Combined With Tarsectomy for Treatment of Congenital Ptosis.

Cat Burkat // Publications // Jun 05 2019

PubMed ID: 31162300

Author(s): Gazit I, Gildener-Leapman J, Or L, Burkat CN, Pras E, Hartstein ME. Müller’s Muscle-conjunctival Resection Combined With Tarsectomy for Treatment of Congenital Ptosis. Ophthalmic Plast Reconstr Surg. 2019 Nov/Dec;35(6):619-622. doi: 10.1097/IOP.0000000000001410.

Journal: Ophthalmic Plastic And Reconstructive Surgery, Volume 35, Issue 6,

PURPOSE To evaluate the efficacy of Müller’s muscle-conjunctival resection combined with tarsectomy for the treatment of congenital ptosis.

METHODS A retrospective, noncomparative case series was performed on 38 eyes of 36 patients who underwent Müller’s muscle-conjunctival resection combined with tarsectomy for the treatment of congenital ptosis. Age range was 2-25 years (mean: 7.86 years). Follow-up measurements taken up to 4 years after procedure were compared with baseline values.

RESULTS Thirty-six patients presenting with congenital ptosis underwent Müller’s muscle-conjunctival resection combined with tarsectomy. All patients had fair-to-good levator function of 5-10 mm. A mean improvement in the margin reflex distance-1 of 2.79 mm (p value < 0.0001) was noted. All cases except one achieved excellent lid height and postoperative symmetry of the eyelids.

CONCLUSIONS Müller’s muscle-conjunctival resection combined with tarsectomy is a safe and effective procedure in the treatment of congenital ptosis in patients with moderate-to-good levator function. The surgery is rapid with quick recovery time. No complications were noted.The authors describe a retrospective case analysis of patients who underwent Müller’s muscle-conjunctival resection combined with tarsectomy, for the treatment of congenital ptosis with moderate-to-good levator function, demonstrates excellent results.