Resection technique shows efficacy for blepharoptosis in eyes with functional blebs

Performing a Mueller muscle-conjunctiva resection can be effective for treating blepharoptosis in glaucoma patients with functional filtering blebs, a retrospective study found.

Dan Georgescu, MD, PhD, and colleagues reviewed outcomes for nine glaucoma patients treated with the procedure by six surgeons at six centers. All patients had satisfactorily responded to preoperative topical phenylephrine testing, and two patients had simultaneous upper blepharoplasty, according to the study.

The researchers found that all nine patients tolerated the resection well. At 9.2 months mean follow-up, patients had an average change in margin reflex distance of 2.9 mm, the authors reported.

One patient experienced an anterior chamber reaction, which persisted for 10 days postop. Another patient experienced a foreign body sensation, which persisted for 6 weeks.

No patients experienced bleb-related complications, and all blebs remained functional after surgery, the authors noted.

The study is published in the July/August issue of Ophthalmic Plastic and Reconstructive Surgery.