Müller’s Muscle-Conjunctival Resection Pearls: Phenylephrine and Resection Considerations

  • Melanie H. Erb
  • Steven C. Dresner


The goal of blepharoptosis repair is to elevate the eyelids to an acceptable level while maintaining proper contour, lid crease, and final symmetry of eyelid height to within 0.5 mm. Müller’s muscle-conjunctival resection (MMCR)1 predictably attains these goals because the correction is consistently titratable according to published2 or personal nomograms. MMCR is the preferred approach to raise an eyelid by 2.5 mm or less in patients with a positive phenylephrine test.


Public Health Plastic Surgery Acceptable Level Prefer Approach Bilateral Ptosis 
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  1. 1.
    Putterman AM, Urist MJ. Muller muscle-conjunctiva resection. Technique for treatment of blepharoptosis. Arch Ophthalmol 1975;93(8):619–623.PubMedGoogle Scholar
  2. 2.
    Dresner SC. Further modifications of the Muller’s muscle-conjunctival resection procedure for blepharoptosis. Ophthal Plast Reconstr Surg 1991;7(2):114–122.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Melanie H. Erb
    • 1
    • 2
    • 3
  • Steven C. Dresner
    • 2
    • 3
  1. 1.Department of OphthalmologyUniversity of California at IrvineIrvine
  2. 2.Department of OphthalmologyUniversity of Southern CaliforniaLos Angeles
  3. 3.Eyesthetica Inc.Santa MonicaUSA

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