FP1675 : Prospective evaluation of muller muscle resection in congenital ptosis with phenylephrine test.

Dr.SWARNA NARESH GAIKWAD, S20314

Purpose-To evaluate results of transconjunctival muller muscle resection for congenital ptosis. To evaluate the predictability of amount of correction of ptosis with phenylephrine test. Methods-This was a prospective study. Patients were with mild to moderate congenital ptosis. MRD1, amount of ptosis, LPS action and effect of phenylephrine test was noted. Graded muller’s muscle resection was done transconjuctival with added tarsal resection. Preoperative and postoperative parameter were compared and analyzed. Results- In 23 patients with age ranging from 7 years to 26 years. Average mrd1 was 1.54 mm, average amount of phenylephrine improvement 1.52 mm, average improvement 1.65mm .muller muscle resection was done as respectively of 6 mm in 8 cases 8 mm in 11 and 10 mm in 4 cases .LPSmuscle action average of 10 mm. Conclusion-Muller muscle surgery is very predictable surgery for mild to moderate ptosis .Phenylephrine test helps to decide the plan and increases predictability.

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