HOMEPRODUCTSCOMPANYCONTACTFAQResearchDictionaryPharmaSign Up FREE or Login

Muller's muscle-conjunctival resection procedure in the treatment of ptosis in Horner's syndrome.

Abstract
The predictability of the phenylephrine test and the efficacy of the Muller's muscle-conjunctival resection procedure in the management of blepharoptosis in six cases of Horner's syndrome were assessed. Before phenylephrine testing or surgery, an average of 2.3 mm of ptosis was present. Topical phenylephrine elevated upper lids an average of 2.2 mm. The amount of elevation produced by the phenylephrine guided the amount of Muller's muscle and conjunctiva resected. Postoperative upper lid levels were exactly symmetrical in five of six patients. In one patient the previously ptotic lid was 0.5 mm higher than the contralateral lid. Even though Muller's muscle is rendered nonfunctional in Horner's syndrome by denervation, the Muller's muscle-conjunctival resection procedure proved to be a very effective method of treating ptosis in this setting. Our findings imply that the mechanism by which this procedure alleviates ptosis is independent of active contraction of Muller's muscle.
AuthorsH J Glatt, A M Putterman, D R Fett
JournalOphthalmic surgery (Ophthalmic Surg) Vol. 21 Issue 2 Pg. 93-6 (Feb 1990) ISSN: 0022-023X [Print] United States
PMID2330204 (Publication Type: Journal Article, Research Support, U.S. Gov't, P.H.S.)
Chemical References
  • Phenylephrine
Topics
  • Blepharoptosis (etiology, surgery)
  • Conjunctiva (surgery)
  • Eyelids (surgery)
  • Horner Syndrome (complications)
  • Humans
  • Muscles (surgery)
  • Phenylephrine
  • Predictive Value of Tests
  • Prognosis
  • Retrospective Studies

Join CureHunter, for free Research Interface BASIC access!

Take advantage of free CureHunter research engine access to explore the best drug and treatment options for any disease. Find out why thousands of doctors, pharma researchers and patient activists around the world use CureHunter every day.
Realize the full power of the drug-disease research graph!


Choose Username:
Email:
Password:
Verify Password:
Enter Code Shown: