Conjunctiva-Sparing Posterior Ptosis Surgery: A Novel Approach

Ivan Vrcek, Robert N. Hogan, Jennifer Rossen, Ronald Mancini

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

PURPOSE:: Müller’s muscle conjunctiva resection is a well-established means of correcting blepharoptosis. The primary objective of this prospective study was to determine if modifying Müller’s muscle conjunctiva resection by sparing the conjunctiva would accomplish successful repair while allowing patients to retain their conjunctiva. The potential advantages of preserving conjunctiva are significant and include: conservation of an anatomically normal tissue, retention of goblet cells, reduction of suture-related complications such as corneal irritation or abrasion as the conjunctiva covers the suture during postoperative healing, and preservation of conjunctiva for potential future surgical procedures critical to ocular health. METHODS:: This is a prospective study enrolling patients with mild to moderate ptosis. RESULTS:: The procedure has been performed in 18 patients and 30 eyelids. Follow up at 1 week revealed normal healing with expected postoperative edema and ecchymosis. Notably, all patients were free of any corneal abrasion or irritation. Follow up at 1 month and a minimum of 3 months (average 5.7 months) revealed that all patients had satisfactory correction of their blepharoptosis with Margin Reflex Distance 1 (MRD1) improvement to within 1 mm of the anticipated goal, preserved eyelid margin contour, and good symmetry (average 0.26 mm difference in MRD1 between the sides). CONCLUSION:: These results show an effective correction of blepharoptosis with a favorable cosmetic outcome and low postoperative complication rate; all while preserving the conjunctiva.

Original languageEnglish (US)
JournalOphthalmic Plastic and Reconstructive Surgery
DOIs
StateAccepted/In press - Sep 10 2015

Fingerprint

Conjunctiva
Blepharoptosis
Eyelids
Sutures
Reflex
Prospective Studies
Ecchymosis
Muscles
Goblet Cells
Cosmetics
Edema
Health

ASJC Scopus subject areas

  • Ophthalmology
  • Surgery

Cite this

Conjunctiva-Sparing Posterior Ptosis Surgery : A Novel Approach. / Vrcek, Ivan; Hogan, Robert N.; Rossen, Jennifer; Mancini, Ronald.

In: Ophthalmic Plastic and Reconstructive Surgery, 10.09.2015.

Research output: Contribution to journalArticle

@article{46ab28d01f21448bb09f0562fc9d52f8,
title = "Conjunctiva-Sparing Posterior Ptosis Surgery: A Novel Approach",
abstract = "PURPOSE:: M{\"u}ller’s muscle conjunctiva resection is a well-established means of correcting blepharoptosis. The primary objective of this prospective study was to determine if modifying M{\"u}ller’s muscle conjunctiva resection by sparing the conjunctiva would accomplish successful repair while allowing patients to retain their conjunctiva. The potential advantages of preserving conjunctiva are significant and include: conservation of an anatomically normal tissue, retention of goblet cells, reduction of suture-related complications such as corneal irritation or abrasion as the conjunctiva covers the suture during postoperative healing, and preservation of conjunctiva for potential future surgical procedures critical to ocular health. METHODS:: This is a prospective study enrolling patients with mild to moderate ptosis. RESULTS:: The procedure has been performed in 18 patients and 30 eyelids. Follow up at 1 week revealed normal healing with expected postoperative edema and ecchymosis. Notably, all patients were free of any corneal abrasion or irritation. Follow up at 1 month and a minimum of 3 months (average 5.7 months) revealed that all patients had satisfactory correction of their blepharoptosis with Margin Reflex Distance 1 (MRD1) improvement to within 1 mm of the anticipated goal, preserved eyelid margin contour, and good symmetry (average 0.26 mm difference in MRD1 between the sides). CONCLUSION:: These results show an effective correction of blepharoptosis with a favorable cosmetic outcome and low postoperative complication rate; all while preserving the conjunctiva.",
author = "Ivan Vrcek and Hogan, {Robert N.} and Jennifer Rossen and Ronald Mancini",
year = "2015",
month = "9",
day = "10",
doi = "10.1097/IOP.0000000000000549",
language = "English (US)",
journal = "Ophthalmic Plastic and Reconstructive Surgery",
issn = "0740-9303",
publisher = "Lippincott Williams and Wilkins",

}

TY - JOUR

T1 - Conjunctiva-Sparing Posterior Ptosis Surgery

T2 - A Novel Approach

AU - Vrcek, Ivan

AU - Hogan, Robert N.

AU - Rossen, Jennifer

AU - Mancini, Ronald

PY - 2015/9/10

Y1 - 2015/9/10

N2 - PURPOSE:: Müller’s muscle conjunctiva resection is a well-established means of correcting blepharoptosis. The primary objective of this prospective study was to determine if modifying Müller’s muscle conjunctiva resection by sparing the conjunctiva would accomplish successful repair while allowing patients to retain their conjunctiva. The potential advantages of preserving conjunctiva are significant and include: conservation of an anatomically normal tissue, retention of goblet cells, reduction of suture-related complications such as corneal irritation or abrasion as the conjunctiva covers the suture during postoperative healing, and preservation of conjunctiva for potential future surgical procedures critical to ocular health. METHODS:: This is a prospective study enrolling patients with mild to moderate ptosis. RESULTS:: The procedure has been performed in 18 patients and 30 eyelids. Follow up at 1 week revealed normal healing with expected postoperative edema and ecchymosis. Notably, all patients were free of any corneal abrasion or irritation. Follow up at 1 month and a minimum of 3 months (average 5.7 months) revealed that all patients had satisfactory correction of their blepharoptosis with Margin Reflex Distance 1 (MRD1) improvement to within 1 mm of the anticipated goal, preserved eyelid margin contour, and good symmetry (average 0.26 mm difference in MRD1 between the sides). CONCLUSION:: These results show an effective correction of blepharoptosis with a favorable cosmetic outcome and low postoperative complication rate; all while preserving the conjunctiva.

AB - PURPOSE:: Müller’s muscle conjunctiva resection is a well-established means of correcting blepharoptosis. The primary objective of this prospective study was to determine if modifying Müller’s muscle conjunctiva resection by sparing the conjunctiva would accomplish successful repair while allowing patients to retain their conjunctiva. The potential advantages of preserving conjunctiva are significant and include: conservation of an anatomically normal tissue, retention of goblet cells, reduction of suture-related complications such as corneal irritation or abrasion as the conjunctiva covers the suture during postoperative healing, and preservation of conjunctiva for potential future surgical procedures critical to ocular health. METHODS:: This is a prospective study enrolling patients with mild to moderate ptosis. RESULTS:: The procedure has been performed in 18 patients and 30 eyelids. Follow up at 1 week revealed normal healing with expected postoperative edema and ecchymosis. Notably, all patients were free of any corneal abrasion or irritation. Follow up at 1 month and a minimum of 3 months (average 5.7 months) revealed that all patients had satisfactory correction of their blepharoptosis with Margin Reflex Distance 1 (MRD1) improvement to within 1 mm of the anticipated goal, preserved eyelid margin contour, and good symmetry (average 0.26 mm difference in MRD1 between the sides). CONCLUSION:: These results show an effective correction of blepharoptosis with a favorable cosmetic outcome and low postoperative complication rate; all while preserving the conjunctiva.

UR - http://www.scopus.com/inward/record.url?scp=84944339766&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84944339766&partnerID=8YFLogxK

U2 - 10.1097/IOP.0000000000000549

DO - 10.1097/IOP.0000000000000549

M3 - Article

C2 - 26359701

AN - SCOPUS:84944339766

JO - Ophthalmic Plastic and Reconstructive Surgery

JF - Ophthalmic Plastic and Reconstructive Surgery

SN - 0740-9303

ER -