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

Gazit, Inbal M.D.*,†; Gildener-Leapman, Juliana M.D.*,†; Or, Lior M.D.*,†; Burkat, Cat N. M.D., F.A.C.S.; Pras, Eran M.D.*,†; Hartstein, Morris E. M.D., F.A.C.S.*,†

Ophthalmic Plastic and Reconstructive Surgery: November/December 2019 - Volume 35 - Issue 6 - p 619–622
doi: 10.1097/IOP.0000000000001410
Surgical Techniques
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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.

*Department of Ophthalmology, Assaf Harofeh Medical Center, Zerifin

Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel

Oculoplastic, Orbital, and Cosmetic Facial Surgery, Department of Ophthalmology and Visual Sciences, University of Wisconsin–Madison, Madison, Wisconsin, U.S.A

Accepted for publication April 19, 2019.

The authors have no financial or conflicts of interest to disclose.

Presented at the ASOPRS 49th annual fall scientific symposium.

Address correspondence and reprint requests to Inbal Gazit, M.D., Department of Ophthalmology, Assaf Harofeh Medical Center, Zerifin 70300, Israel. E-mail: inbalgazit@gmail.com

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© 2019 by The American Society of Ophthalmic Plastic and Reconstructive Surgery, Inc., All rights reserved.