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Abstract #19735 Published in IGR 9-4
Muller muscle-conjunctiva resection to correct ptosis in high-risk patients
Michels KS; Vagefi MR; Steele E; Zwick OM; Torres JJ; Seiff SR; Dailey RAOphthalmic Plastic and Reconstructive Surgery 2007; 23: 363-366
PURPOSE: Muller muscle-conjunctiva resection could be seen as a relative contraindication in patients with a prior history of a glaucoma filtering procedure, corneal disease, or corneal surgery. The concern centers around the theoretical risk of bleb-related complications or corneal damage from the palpebral conjunctival sutures. Our study aimed to determine whether any bleb- or cornea-related complications arose in patients who underwent Muller muscle-conjunctiva resection for ptosis correction. METHODS: A retrospective chart review was performed on two practices of oculofacial plastic surgeons from 2000 to 2006, including patients who had ptosis correction by Muller muscle-conjunctiva resection. Patients with a prior history of a glaucoma filtering procedure, corneal disease, or corneal surgery were identified. Each case was reviewed to determine whether any bleb- or cornea-related complications occurred. The postoperative improvement of ptosis measured by interpalpebral distance or margin reflex distance-1 also was noted. RESULTS: Forty-three patients and 55 eyes with a history of a glaucoma filtering procedure (13 patients/15 eyes), corneal disease (one patient/one eye), or corneal surgery (29 patients/39 eyes) who underwent Muller muscle-conjunctiva resection were identified. The average follow-up time was 212.4 days. No bleb-related complications occurred. One patient with a history of Reis-Bucklers dystrophy experienced a corneal abrasion. Fifty-two of 55 patients had objective improvement of their ptosis. CONCLUSIONS: Muller muscle-conjunctiva resection can provide an effective means for ptosis repair in patients with a prior history of a glaucoma filtering procedure, corneal disease, or corneal surgery. One temporary postoperative corneal complication occurred in our series.
Dr. R.A. Dailey, Casey Eye Institute, Oregon Health and Science University, 3375 S.W. Terwilliger Boulevard, Portland, OR 97239-4197, USA. daileyr@ohsu.edu
Classification:
12.8.11 Complications, endophthalmitis (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
12.20 Other (Part of: 12 Surgical treatment)
