Modifications of the Muller's muscle-conjunctival resection operation for blepharoptosis

Abstract

The authors used a modified Muller's muscle-conjunctival resection operation to correct cases of minimal blepharoptosis with good levator function. After they everted the eyelid, they placed a marking suture through the conjunctiva and Muller's muscle 4 mm above the superior tarsal border. The suture was used to tent up Muller's muscle and the conjunctiva from the underlying levator aponeurosis, facilitating placement of a resection clamp. These improvements ensure excision of the proper amount of tissue and reduce intraoperative trauma. Eighteen (95%) of 19 eyelids treated with this modification were cosmetically acceptable.