Predictive value of a phenylephrine-guided resection algorithm in optimizing eyelid symmetry following bilateral Müller Muscle–Conjunctival Resection

Pauly M, Sruthi R (2019) Ptosis: evaluation and management. Kerala J Ophthalmol 31(1):11

Article  Google Scholar 

Grigalunas A, Szewka AJ (2019) Etiologies of Blepharoptosis. Oculofacial, Orbital, and Lacrimal Surgery. Springer International Publishing, Cham, pp 21–28

Chapter  Google Scholar 

Bacharach J, Lee WW, Harrison AR, Freddo TF (2021) A review of acquired blepharoptosis: prevalence, diagnosis, and current treatment options. Eye 35(9):2468–2481

Article  PubMed  PubMed Central  Google Scholar 

Finsterer J (2003) Ptosis: Causes, Presentation, and Management. Aesthetic Plast Surg. 27(3):193–204

Article  PubMed  Google Scholar 

Altieri M, Truscott E, Kingston AEH, Bertagno R, Altieri G (2005) Ptosis secondary to anterior segment surgery and its repair in a two-year follow-up study. Ophthalmologica 219(3):129–135

Article  PubMed  Google Scholar 

Godfrey KJ, Korn BS, Kikkawa DO (2016) Blepharoptosis following ocular surgery. Curr Opin Ophthalmol 27(1):31–37

Article  PubMed  Google Scholar 

Zoumalan CI, Lisman RD (2010) Evaluation and management of unilateral ptosis and avoiding contralateral ptosis. Aesthet Surg J. 30(3):320–328

Article  PubMed  Google Scholar 

Chen AD, Lai YW, Lai HT, Huang SH, Lee SS, Chang KP et al (2016) The impact of Hering’s law in blepharoptosis. Ann Plast Surg. 76(Supplement 1):S96-100

Article  CAS  PubMed  Google Scholar 

Erb MH, Kersten RC, Yip CC, Hudak D, Kulwin DR, McCulley TJ (2004) Effect of unilateral blepharoptosis repair on contralateral eyelid position. Ophthalmic Plast Reconstr Surg 20(6):418–422

Article  PubMed  Google Scholar 

Nemet AY (2015) The effect of Hering’s law on different ptosis repair methods. Aesthet Surg J 35(7):774–781

Article  PubMed  Google Scholar 

Nemet AY (2013) Is Hering’s Law as important in congenital Blepharoptosis as in acquired ptosis? Aesthet Surg J. 33(8):1110–1115

Article  PubMed  Google Scholar 

Lussier C, Leung VC, El-Khazen Dupuis J, Ashraf DC, Idowu OO, Massicotte E et al (2023) Prevalence and predictors of Hering’s response in müller’s muscle-conjunctival resection. Ophthalmic Plast Reconstr Surg. 39(3):237–242

Article  PubMed  Google Scholar 

Bineshfar N, Meller L, Meyer BI, Lee WW (2025) Impact of phenylephrine-induced Hering’s response on Müller’s muscle-conjunctival resection outcomes. Orbit 44(3):289–294

Article  PubMed  Google Scholar 

Pang R, Liu Z, Wang H, Wang J, Shi J, Xiao L et al (2025) Correction of upper eyelid retraction following ptosis surgery using Hering’s law: A case report. Medicine 104(9):e41624

Article  PubMed  PubMed Central  Google Scholar 

Putterman AM (1975) Müller muscle-conjunctiva resection. Arch Ophthalmol. 93(8):619

Article  CAS  PubMed  Google Scholar 

Karam M, Alsaif A, Abul A, Alkhabbaz A, Alotaibi A, Shareef E et al (2023) Muller’s muscle conjunctival resection versus external levator advancement for ptosis repair: systematic review and meta-analysis. Int Ophthalmol. 43(7):2563–2573

Article  PubMed  Google Scholar 

Sweeney AR, Dermarkarian CR, Williams KJ, Allen RC, Yen MT (2020) Outcomes after Müller muscle conjunctival resection versus external levator advancement in severe involutional blepharoptosis. Am J Ophthalmol 217:182–188

Article  CAS  PubMed  Google Scholar 

Nacaroglu SA, Karabulut GO, Fazil K, SerefogluCabuk K, KandemirBesek N, Taskapili M (2021) Comparing the outcome of Muller’s muscle conjunctival resection for mild/moderate versus severe involutional aponeurotic ptosis. Eur J Ophthalmol. 31(6):3436–3441

Article  PubMed  Google Scholar 

Leung VC, Dupuis JEK, Ashraf DC, Idowu OO, Massicotte E, Vagefi MR et al (2023) Müller muscle conjunctival resection: a multicentered prospective analysis of surgical success. Ophthalmic Plast Reconstr Surg. 39(3):226–231

Article  PubMed  Google Scholar 

Pornpanich K, Shanokprasith S, Jaru-ampornpan P, Eiamsamarng A (2023) Comparison of clinical outcomes of conjunctivo-mullerectomy for varying degrees of ptosis. Sci Rep. 13(1):19131

Article  CAS  PubMed  PubMed Central  Google Scholar 

Ozturk Karabulut G. An Alternative Algorithm for Müller Muscle Conjunctival Resection Surgery for Blepharoptosis Management. Beyoglu Eye Journal [Internet]. 2019; Available from: https://jag.journalagent.com/beyoglu/pdfs/BEJ-46220-ORIGINAL_ARTICLE-OZTURK_KARABULUT.pdf

Fatani DR, Kamal YF, AlSulaiman HM (2025) Müller muscle-conjunctival resection (MMCR) surgery: a comprehensive literature review. Eur J Ophthalmol. 35(1):77–87

Article  PubMed  Google Scholar 

Golbert M, Pereira FJ, Garcia DM, Cruz AAV. Contour Symmetry of the Upper Eyelid Following Bilateral Conjunctival-Müller’s Muscle Resection. Aesthet Surg J. 2016 Dec 23;sjw242.

Dan J, Sinha KR, Rootman DB (2018) Predictors of success following Müller’s muscle-conjunctival resection. Ophthalmic Plast Reconstr Surg 34(5):483–486

Article  PubMed  Google Scholar 

Mangan MS, Tekcan H, YurttaserOcak S, OzcelikKose A, Balci S, Ercalik NY et al (2023) Müller muscle-conjunctival resection for treatment of contralateral ptosis following unilateral external levator advancement. Plast Reconstr Surg. 152(3):533–539

Article  CAS  PubMed  Google Scholar 

Hauck MJ, Steele EA, Perry CB (2020) Predictability of the phenylephrine test with regard to eyelid skin appearance in patients who undergo Müller muscle–conjunctival resection without blepharoplasty. Ophthalmic Plast Reconstr Surg 36(2):191–193

Article  PubMed  Google Scholar 

Chen HJ, Wang CY, Huang YF, Wu YC, Wei LC (2022) Effect of Muller’s muscle-conjunctival resection on the upper eyelid crease position in Asian eyelids: a retrospective cohort study. BMC Ophthalmol. 22(1):377

Article  CAS  PubMed  PubMed Central  Google Scholar 

Dresner SC (1991) Further modifications of the Müllerʼs muscle-conjunctival resection procedure for blepharoptosis. Ophthalmic Plast Reconstr Surg 7(2):114–122

Article  CAS  PubMed  Google Scholar 

Weinstein GS, Buerger GF (1982) Modifications of the Müller’s muscle-conjunctival resection operation for blepharoptosis. Am J Ophthalmol 93(5):647–651

Article  CAS  PubMed  Google Scholar 

Mehta VJ, Perry JD (2013) Blepharoptosis repair outcomes from trainee versus experienced staff as the primary surgeon. Am J Ophthalmol 155(2):397-403.e1

Article  PubMed  Google Scholar 

Zauberman NA, Koval T, Kinori M, Matani A, Rosner M, Ben-Simon GJ (2013) Müller’s muscle–conjunctival resection for upper eyelid ptosis: correlation between amount of resected tissue and outcome. Br J Ophthalmol 97(4):408–411

Article  PubMed  Google Scholar 

Thomas GN, Chan J, Sundar G, Amrith S (2017) Outcomes of levator advancement and Müller muscle-conjunctiva resection for the repair of upper eyelid ptosis. Orbit 36(1):39–42

Article  CAS  PubMed  Google Scholar 

Arslan N, Bahar A, Acar M, Kosker M, Kabatas N, Gurdal C (2023) The results of Muller Muscle Conjunctival Resection versus Levator Advancement for mild to moderate ptosis. Rom. J. Ophthalmol. 67(2):128

PubMed  PubMed Central  Google Scholar 

Ben Simon GJ, Lee S, Schwarcz RM, McCann JD, Goldberg RA (2007) Müller’s Muscle-Conjunctival Resection for correction of upper eyelid ptosis. Arch Facial Plast Surg. 9(6):413–417

Article  PubMed  Google Scholar 

Comments (0)

No login
gif