Background:The success rates of conjunctiva-Müller muscle resection vary in reports of previous studies, with 81% to 88.6% success rates having been reported in other countries. Few studies have reported on the surgical success rates of conjunctiva-Müller muscle resection in Korea compared to the number of reports on other methods of blepharoptosis repair. We therefore sought to determine the clinical efficacy and success rate of conjunctiva-Müller muscle resection in patients with mild blepharoptosis and identify the factors that affect the surgical success rate.Objective: This study was performed to evaluate of the clinical efficacy and success rate of conjunctiva-Müller muscle resection (posterior approach technique) in patients with mild blepharoptosis and to identify the factors that affect its surgical success rate.Methods: Surgeries were performed by one surgeon in 30 patients (35 eyes) and only when the marginal reflex distance 1 (MRD1) increased over 1 mm at 5 minutes after the administration of 0.25% phenylephrine eye drops. The MRD1, MRD2, Brow-pupil distance (BPD), and interpalpebral fissure (IPF) were measured pre-operatively, 1 month post-operatively, and at the final follow-up visit. Results:The mean MRD1 increased significantly from 0.83±0.96 mm pre-operatively to 2.45±0.77 mm post-operatively (p=0.012).The mean IPF also increased significantly from 5.54±2.04 mm pre-operatively to 7.62±1.85 mm post-operatively (p=0.003). The mean BPD, however, did not change significantly (22.94±4.96 mm pre-operatively and 23.19±5.72 mm post-operatively, p=0.863). The post-operative MRD1 for the eye with blepharoptosis was less than 1 mm compared to that for the opposite eye. Conclusion:Conjunctiva-Müller muscle resection is a safe and effective surgical method in patients with mild or moderate blepharoptosis with good levator palpebrae muscle function in which the post-operative results can be predicted on the basis of the amount of muscle resection.
Few cases have been previously reported regarding scar sarcoidosis following blepharoplasty. We report the case of a patient that developed sarcoidosis of a scar following a blepharoplasty procedure. A 41-year-old woman had a one-month history of beadshaped masses along her right upper eyelid. The patient underwent blepharoplasty 20 years ago. We performed excisional biopsy. Histopathological examination revealed a chronic non-caseating granuloma. Results of other tests were normal, including urinalysis, blood tests, and chest radiograph. Polymerase chain reaction (PCR) did not demonstrate evidence of tuberculosis, and a culture test for microbes showed no evidence of infection. She was diagnosed with sarcoidosis of the eyelid, and was prescribed an oral steroid. Once no evidence of recurrence was noted 3 months after the operation, the oral steroid dose was tapered off over an 8-week period. This case represents a rare occurrence of sarcoidosis that developed in the incisional scar after blepharoplasty. Sarcoidosis of the incisional scar should be considered as a differential diagnosis for an unusual mass that develops in a scar following blepharoplasty.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.