June 2015
Volume 56, Issue 7
ARVO Annual Meeting Abstract  |   June 2015
Conjunctiva Muller Muscle Resection Belpharoptosis Repair: Efficient, Reliable and Predictable.
Author Affiliations & Notes
  • sara khandan
    Ophthalmology, William Beaumont Hospital, Troy, MI
  • John Koh
    Ophthalmology, William Beaumont Hospital, Troy, MI
    Ophthalmology, Wayne State University, Detroit, MI
  • Footnotes
    Commercial Relationships sara khandan, None; John Koh, None
  • Footnotes
    Support None
Investigative Ophthalmology & Visual Science June 2015, Vol.56, 4744. doi:
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      sara khandan, John Koh; Conjunctiva Muller Muscle Resection Belpharoptosis Repair: Efficient, Reliable and Predictable.. Invest. Ophthalmol. Vis. Sci. 2015;56(7 ):4744.

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      © ARVO (1962-2015); The Authors (2016-present)

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To demonstrate predictability and outcomes with conjunctiva Muller muscle resection (CMR) for blepharoptosis repair using a new algorithm.


Retrospective review of 105 patients and 182 eyelids that underwent CMR at one site with a single surgeon. 77 women and 28 men aged between 25-90 years old. Measured endpoints included pre and post-operative MRD1, symmetry, complication rates and symptomatic dry eye post-operatively. Patients were followed for a 12 month post-operative period.


Pre-operative MRD1 ranged between -3 to +3 mm with a mean of 0.6 mm. Post-operative MRD1 ranged between 1 to 4.5 mm with a mean of 2.6 mm. 95.1% of patients had symmetry up to 1 mm and 89% up to 0.5 mm. 17.6% patients were undercorrected. 11.5% of patients were overcorrected. 1% of patients sustained a corneal abrasion post-operatively. Patients with glaucoma filtering blebs had no post-operative complications.


Using a new algorithm, this modified CMR technique is highly reliable and predictable. It is an effective treatment for mild to severe ptosis; it does not worsen dry eye symptoms; and it can be using safely in the presence of glaucoma filtering blebs. Other advantages of CMR include preservation of natural eyelid contour and the ability to perform this procedure under general anesthesia.  



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