Ptosis Repair, Mullerectomy

Video Type: CVideo
  • 2-5 min videos of a particular surgery or technique. These again show major events in the surgery
  • Clearly annotated and narration is a must in these videos
  • These have clear but concise abstracts are not able to be indexed in PubMed
  • Distributed in newsletters, featured on our website and social media
  • Peer reviewed

Author: Benjamin Jastrzembski
Published:
Specialties: Ophthalmology
Schools: Harvard Medical School
2 votes, average: 5.00 out of 52 votes, average: 5.00 out of 52 votes, average: 5.00 out of 52 votes, average: 5.00 out of 52 votes, average: 5.00 out of 5 (2 votes, average: 5.00 out of 5)
You need to be a registered member to rate this post.
Loading...
Basic Info

Suzanne Freitag MD

Juan Carlos Jimenez Perez, MD

Benjamin Jastrzembski, MD

Harvard Medical School, Massachusetts Eye and Ear

Advanced

Procedure

Mullerectomy (Putterman müllerectomy, Müller muscle resection)

Indications

Repair of upper eyelid ptosis of up to 2mm

Contraindications

Instrumentation

Setup

Preoperative Workup

In the clinic, 2.5% phenylephrine hydrochloride is instilled into the eye with the ptotic upper eyelid. Adequate upper eyelid position fifteen minutes following the instillation of the drop suggests the ptosis is amenable to repair with the mullerectomy procedure. The marginal reflex distance (MRD1) should be determined before and after the instillation of phenylephrine. The use of a flash photograph is very helpful in documenting an improvement in eyelid position with phenylephrine.

Anatomy and Landmarks

Advantages/Disadvantages

With the internal transconjunctival approach of the mullerectomy, there is no skin incision or external sutures following the procedure. The principle disadvantage of the mullerectomy procedure is that it may be used only to repair minimal ptosis of up to 2mm.

Complications/Risks

Potential complications include undercorrection of the ptosis and lagophthalmos with risk of subsequent exposure keratopathy.

Disclosure of Conflicts

None

Acknowledgements

References

Share
0 replies

Leave a Reply

Want to join the discussion?
Feel free to contribute!

Leave a Reply