Non-incision Transconjuctival Muller Tucking in Blepharoptosis

Park, Jang Woo

Abstract

The current method of blepharoptosis revision utilizes the aponeurosis and muscle incision in order to advance or shorten the Muller's muscle or the levator papebrae superioris muscle. However, this procedure commonly results in asymmetry, and the procedure to correct it or to have multiple revisions remains difficult. In replacement of this procedure, a microincision procedure was conducted using the conjunctival approach. With this method, mild to moderate cases are corrected with two to three 1mm incisions to pull the Muller's muscle or the levator papebrae superioris muscle. We have been fifthy cases with non-incision transconjunctival Muller tucking from October 2011 to December 2011. 49 patients in study show satisfatory. In only one patient, incomplete correction was observed. The results are similar to the previous method and the recovery period remains the same at one to two weeks. In the case of unilaterality, the results are far superior. In addition, revision procedures of under-correction or over-correction are easily done and the surgical techniques required for revisions are simple. Inexperienced doctors are also able to apply this method successfully, so it is a recommended procedure. This method is called the Non-incision transconjunctival Muller Tucking or the Reverse Muller Tucking.