Efficacy of Transconjunctival Tucking Surgery in Comparison With the Phenylephrine-test Positive and Negative Involutional Blepharoptosis Groups
Background:. This study aimed to determine whether there is a significant difference in the efficacy of transconjunctival tucking of the Müller muscle and levator aponeurosis in patients with involutional blepharoptosis who tested positive or negative on the phenylephrine test. Methods:. The analysi...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer
2025-07-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006902 |
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| author | Kosuke Ogasawara, MD, PhD |
| author_facet | Kosuke Ogasawara, MD, PhD |
| author_sort | Kosuke Ogasawara, MD, PhD |
| collection | DOAJ |
| description | Background:. This study aimed to determine whether there is a significant difference in the efficacy of transconjunctival tucking of the Müller muscle and levator aponeurosis in patients with involutional blepharoptosis who tested positive or negative on the phenylephrine test.
Methods:. The analysis involved 64 eyes of 42 patients with levator muscle function of the upper eyelid of 8 mm or more and a margin reflex distance 1 (MRD-1) of less than 2 mm. Patients who tested positive and negative for 5% phenylephrine were allocated to group A (41 eyes of 26 patients) and group B (23 eyes of 16 patients), respectively. The efficacy of surgery (ΔMRD-1) was compared by subtracting preoperative MRD-1 from postoperative MRD-1. Multiple comparison tests were performed to evaluate changes in MRD-1 and ΔMRD-1 every 3 months from 3 to 12 months after transconjunctival tucking of the Müller muscle and levator aponeurosis.
Results:. Regarding the mean ΔMRD-1 values at 3, 6, and 12 months postoperatively, the values at 6 and 12 months were significantly lower in group A than in group B, with 2.31, 1.98, and 1.81 mm, respectively, in group A and 2.73, 2.71, and 2.50 mm, in group B (P = 0.03 at 6 mo and P = 0.041 at 12 mo).
Conclusions:. The efficacy of transconjunctival tucking of the Müller muscle and levator aponeurosis was greater in group B than in group A, and the results were more stable. This is an interesting finding when considering the successful mechanism in the present surgical method. |
| format | Article |
| id | doaj-art-89e16004d37d4b38b0c81996bc504f17 |
| institution | Kabale University |
| issn | 2169-7574 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj-art-89e16004d37d4b38b0c81996bc504f172025-08-20T03:32:28ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742025-07-01137e690210.1097/GOX.0000000000006902202507000-00039Efficacy of Transconjunctival Tucking Surgery in Comparison With the Phenylephrine-test Positive and Negative Involutional Blepharoptosis GroupsKosuke Ogasawara, MD, PhD0From the Medical Corporation, Ogasawara Eye Clinic, Morioka, Japan.Background:. This study aimed to determine whether there is a significant difference in the efficacy of transconjunctival tucking of the Müller muscle and levator aponeurosis in patients with involutional blepharoptosis who tested positive or negative on the phenylephrine test. Methods:. The analysis involved 64 eyes of 42 patients with levator muscle function of the upper eyelid of 8 mm or more and a margin reflex distance 1 (MRD-1) of less than 2 mm. Patients who tested positive and negative for 5% phenylephrine were allocated to group A (41 eyes of 26 patients) and group B (23 eyes of 16 patients), respectively. The efficacy of surgery (ΔMRD-1) was compared by subtracting preoperative MRD-1 from postoperative MRD-1. Multiple comparison tests were performed to evaluate changes in MRD-1 and ΔMRD-1 every 3 months from 3 to 12 months after transconjunctival tucking of the Müller muscle and levator aponeurosis. Results:. Regarding the mean ΔMRD-1 values at 3, 6, and 12 months postoperatively, the values at 6 and 12 months were significantly lower in group A than in group B, with 2.31, 1.98, and 1.81 mm, respectively, in group A and 2.73, 2.71, and 2.50 mm, in group B (P = 0.03 at 6 mo and P = 0.041 at 12 mo). Conclusions:. The efficacy of transconjunctival tucking of the Müller muscle and levator aponeurosis was greater in group B than in group A, and the results were more stable. This is an interesting finding when considering the successful mechanism in the present surgical method.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006902 |
| spellingShingle | Kosuke Ogasawara, MD, PhD Efficacy of Transconjunctival Tucking Surgery in Comparison With the Phenylephrine-test Positive and Negative Involutional Blepharoptosis Groups Plastic and Reconstructive Surgery, Global Open |
| title | Efficacy of Transconjunctival Tucking Surgery in Comparison With the Phenylephrine-test Positive and Negative Involutional Blepharoptosis Groups |
| title_full | Efficacy of Transconjunctival Tucking Surgery in Comparison With the Phenylephrine-test Positive and Negative Involutional Blepharoptosis Groups |
| title_fullStr | Efficacy of Transconjunctival Tucking Surgery in Comparison With the Phenylephrine-test Positive and Negative Involutional Blepharoptosis Groups |
| title_full_unstemmed | Efficacy of Transconjunctival Tucking Surgery in Comparison With the Phenylephrine-test Positive and Negative Involutional Blepharoptosis Groups |
| title_short | Efficacy of Transconjunctival Tucking Surgery in Comparison With the Phenylephrine-test Positive and Negative Involutional Blepharoptosis Groups |
| title_sort | efficacy of transconjunctival tucking surgery in comparison with the phenylephrine test positive and negative involutional blepharoptosis groups |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006902 |
| work_keys_str_mv | AT kosukeogasawaramdphd efficacyoftransconjunctivaltuckingsurgeryincomparisonwiththephenylephrinetestpositiveandnegativeinvolutionalblepharoptosisgroups |