Muller's muscle excision and levator recession in retracted upper lid. Treatment of thyroid-related retraction
J. Chalfin and A. M. Putterman
The results of excision of Muller's muscle with or without recession of the
levator palpebrae superioris aponeurosis were examined in 61 upper eyelids
of 40 patients. The cosmetic results were acceptable in 35 patients (56
upper eyelids). Another five patients had a subsequent unilateral partial
(nasal) or total ptosis, which was successfully treated with additional
surgery. Overcorrections (ptosis) have ceased to be a problem since
modifications to the original technique have been used. Only one
undercorrection was encountered, and it was treated successfully with a
simple surgical procedure. We believe that the described procedure is
desirable for the treatment of thyroid-related upper eyelid retraction
because it is simple, is based on anatomic and physiologic principles, is
tailored to the individual patient intraoperatively and yields consistently
good results.
