What is levator muscle resection?
In patients with moderate ptosis and levator function more than 6 mm, levator muscle resection is the surgical treatment of choice3 and is carried out by dissecting the aponeurosis and the levator muscle from the tarsus and Müller’s muscle.
What is levator surgery?
External approach, or levator advancement, is the most commonly performed surgery to treat ptosis. It is recommended for people with ptosis who have strong levator muscle function. In an external approach, the oculoplastic surgeon makes an incision in the skin of the eyelid.
What is Conjunctivo Tarso Muller resection?
First described by Putterman and Urist in 1975, Muller’s Muscle-Conjunctival Resection (MMCR) was a modification of the Fasanella-Servat procedure, which involves the excision of 3mm of tarsus. MMCR is a posterior eyelid ptosis repair technique, which spares the tarsus.
Can you close your eye after ptosis surgery?
A rare complication after blepharoplasty (eyelid surgery) can rob patients of something that most of us take for granted: the ability to fully close the eyes. Unfortunately, this problem, known as lagophthalmos, can make the simplest tasks like sleeping or showering extremely difficult.
How long is ptosis surgery recovery?
Near complete tissue healing usually occurs by 4 months. For upper eyelid blepharoplasty and ptosis surgery, 3 to 5 days off work is average while up to 10-12 days may be best for those patients having both upper and lower eyelid blepharoplasty surgery.
How is levator function measured?
Levator function is measured by having the patient look down, and with a hand on the patient’s forehead to prevent any brow action, asking the patient to look upward as far as possible without a change in head position. The distance the upper lid margin elevates in millimeters is the levator muscle function.
Is ptosis surgery difficult?
Ptosis surgery is complex and generally only performed by “oculoplastic surgeons”, not general “plastic surgeons”. From the patient’s perspective though, the procedure only takes about an hour. There is very minimal discomfort afterward – only Tylenol is ever needed.
What are the risks of ptosis surgery?
The risks of ptosis surgery include:
- Unusual bruising or swelling after surgery.
- Need for adjustment or additional surgery.
- Asymmetric eyelid height.
- Overcorrection or undercorrection.
- Dry spots requiring lubricants.
- Stiffness of the eyelid in downgaze.
What is conjunctival resection?
Conjunctival resection is an effective therapeutic modality for the treatment of a marginal furrow associated with rheumatoid arthritis. Rapid reepithelialization was observed following this procedure for the treatment of five such stromal ulcers that occurred in three rheumatoid patients.
What can you not do after ptosis surgery?
Should I avoid any specific activities? In order to keep the wound clean and dry, and to avoid irritation, swimming is not advised for the first couple of weeks following the operation. When showering or bathing, it is important to try to keep the eye area dry for the first 5 days.
How do you sleep after ptosis surgery?
Rest and sleep with your head raised on 2 to 3 pillows for 2 weeks or as directed by your surgeon. This will help prevent swelling at your surgical sites. Your eyes may look swollen and bruised after your surgery.
Are you awake during ptosis surgery?
Ptosis surgery is performed under local anesthesia with sedation (the patient is awake but does not feel the procedure). The types of surgery to repair the droopy lid include the following: The surgeon makes an opening in the skin of the upper eyelid.
How is levator muscle resection used to treat ptosis?
This technique is performed via the exposure of the levator aponeurosis through an anterior approach, traditionally using an incision running the entire length of the upper eyelid crease, then advancing the levator aponeurosis by folding or excising the muscle, and reattaching the aponeurosis to the anterior surface of the tarsus.
When to use resection and advancement of the levator aponeurosis?
Resection and advancement of the levator aponeurosis is a technique often used in correction of ptosis in patients with greater than 5 mm of levator function.
Is there a way to shorten the levator muscle?
This method results in an elevation in the contour of the upper lid by effectively shortening the levator muscle itself. This approach has the advantages of preserving normal anatomical planes and structures of the eyelid as well as preservation of all elevating structures, including Mueller’s muscle and Whitnall’s ligament.