Putterman A M
Aust N Z J Ophthalmol. 1985 May;13(2):179-83. doi: 10.1111/j.1442-9071.1985.tb00419.x.
The Müllers muscle-conjunctival resection procedure is a relatively simple means of relieving upper eyelid ptosis. Candidates for the operation are chosen by placing several drops of 10% phenylephrine hydrochloride into the upper ocular fornix. If the upper lid elevates close to a normal level after five minutes, the patient is selected for the operation. A specially designed clamp is applied to 6.5 to 9.5 mm of conjunctiva and Müllers muscle above the superior tarsal border. A suture is run distal to the clamp, connecting conjunctiva and Müllers muscle to the superior tarsal border, and then the tissues held in the clamp are resected. The Müllers muscle-conjunctival resection has advantages over the Fasanella procedure, because tarsus is preserved, and over the levator aponeurosis advancement and tuck procedures, because the results are much more predictable.
米勒肌-结膜切除术是一种相对简单的缓解上睑下垂的方法。通过向上眼穹窿滴入几滴10%盐酸去氧肾上腺素来选择手术候选人。如果五分钟后上睑提升至接近正常水平，则该患者被选为手术对象。使用一种特殊设计的夹子夹住睑板上缘上方6.5至9.5毫米的结膜和米勒肌。在夹子远端缝合，将结膜和米勒肌与睑板上缘相连，然后切除夹在夹子中的组织。米勒肌-结膜切除术比法萨内拉手术有优势，因为保留了睑板；比提上睑肌腱膜前移和折叠手术有优势，因为结果更可预测。
