Müller’s Muscle-Conjunctival Resection (Posterior Approach)

  • Adam J. Cohen
  • David A. Weinberg


Müller’s muscle-conjunctival ­resec‑tion is a reliable, time-proven, and relatively easy technique for correction of mild-to-moderate blepharoptosis with good levator function.


Orbital Roof Monitor Anesthesia Care Monitor Anesthesia Care Traction Suture Levator Function 
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  1. 1.
    Putterman AM, Urist M. Müller’s muscle-conjunctival resection: technique for treatment of blepharoptosis. Arch Ophthalmol. 1975;93:619–23.PubMedGoogle Scholar
  2. 2.
    Cohen AJ, Weinberg DA. Müller’s muscle-conjunctival resection for blepharoptosis with poor levator function. Ophthalmic Surg Lasers. 2002;33:491–2.PubMedGoogle Scholar
  3. 3.
    Georgescu D, Epstein G, Fountain T, Migliori M, Mannor G, Weinberg D. Müller’s muscle conjunctival resection for blepharoptosis in patients with poor to fair levator function. Ophthalmic Surg Lasers Imaging. 2009;40(6):597–9.CrossRefPubMedGoogle Scholar
  4. 4.
    Cohen AJ, Mercandetti M. Ptosis, adult.eMedicine from WebMD. Accessed 18 Nov 2009.
  5. 5.
    Cohen AJ, Bernstein JA. Müller’s muscle-conjunctival resection for blepharoptosis repair. Techniques in ophthalmology. 2002;33(6):`491–2.PubMedGoogle Scholar
  6. 6.
    Yazici B. Use of 0.5% aproclonindine solution in evaluation of blepharoptosis. Ophthal Plast Reconstr Surg. 2008;24(2):299–301.PubMedGoogle Scholar
  7. 7.
    Glatt HJ, Fett DR, Putermann AM. Comparison of 2.5% and 10% phenylephrine in the elevation of upper eyelids with ptosis. Ophthalmic Surg. 1990;21(3):173–6.PubMedGoogle Scholar
  8. 8.
    Miller SA, Mieler WF. Systemic reactions to subconjunctival phenylephrine. Can J Ophthalmol. 1978;13(4):290–3.PubMedGoogle Scholar
  9. 9.
    Baldwin HC, Bhagey J, Khooshabeh R. Open sky Müller muscle-conjunctival resection in phenylephrine test-negative blepharoptosis patients. Ophthal Plast Reconstr Surg. 2005;21(4):276–80.CrossRefPubMedGoogle Scholar
  10. 10.
    Fraunfelder FW, Fraunfelder FT, Jensvold B. Adverse systemic effects from pledgets of ocular topical phenylephrine 10%. Am J Ophthalmol. 2002;134(4):624–5.CrossRefPubMedGoogle Scholar
  11. 11.
    Putterman AM, Fett DR. Müller’s muscle in the ­treatment of upper eyelid ptosis; a ten year study. Ophthalmic Surg. 1986;17:354–60.PubMedGoogle Scholar
  12. 12.
    Weinstein GS, Buerger GF. Modification of the Müller’s muscle-conjunctival resection operation for blepharoptosis. Am J Ophthalmol. 1982;93(5):647–51.PubMedGoogle Scholar
  13. 13.
    Dresner SC. Further modifications of the Müller’s muscle-conjunctival resection procedure for blepharoptosis. Ophthal Plast Reconstr Surg. 1991;7:114–22.CrossRefPubMedGoogle Scholar
  14. 14.
    Mercandetti M, Putterman AM, Cohen ME, Mirante JP, Cohen AJ. Internal levator advancement by Müller’s muscle-conjunctival resection: technique and review. Arch Facial Plast Surg. 2001;3(2):104–10.CrossRefPubMedGoogle Scholar
  15. 15.
    Perry JD, Kadakia A, Foster JA. A new algorithm using conjunctival Müller’s muscle resection with or without tarsectomy. Ophthal Plast Reconstr Surg. 2002;18(6):426–29.CrossRefPubMedGoogle Scholar
  16. 16.
    Ben Simon GJ, Lee S, Schwarcz RM, McCann JD, Goldberg RA. Müller’s muscle-conjunctival resection for correction of upper eyelid ptosis. Arch Facial Plast Surg. 2007;9(6):413–17.CrossRefPubMedGoogle Scholar
  17. 17.
    Ayala E, Galvez C, Gonzalez-Candial M, Medel R. Predictability of conjunctival-müllerectomy for blepharoptosis repair. Orbit. 2007;26:217–22.CrossRefPubMedGoogle Scholar
  18. 18.
    Cohen AJ. Oculoplastic and orbital surgery. Ophthalmol Clin North Am. 2006;19(2):257–67.PubMedGoogle Scholar
  19. 19.
    Georgescu D, Cole E, Epstein G, Fountain T, Migliori M, Nguyen Q, et al. Müller muscle-conjunctiva resection for blepharoptosis in patients with glaucoma filtering blebs. Ophthal Plast Reconstr Surg. 2007;23:285–7.CrossRefPubMedGoogle Scholar
  20. 20.
    Michels KS, Vagefi MR, Steele E, Zwick OM, Torres JJ, Seiff SR, et al. Müller muscle-conjunctiva resection to correct ptosis in high-risk patients. Ophthal Plast Reconstr Surg. 2007;23:363–6.CrossRefPubMedGoogle Scholar
  21. 21.
    Dailey RA, Saulny SM, Sullivan SA. Müller’s muscle-conjunctival resection-effect on tear production. Ophthal Plast Reconstr Surg. 2002;18(6):421–25.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.The Art of EyesSkokieUSA

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