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Lower-eyelid tarsal ectropion repair with the Putterman ptosis clamp for lower-eyelid conjunctival Mueller's muscle resection and lateral tendon tuck.
Ophthalmic Plast Reconstr Surg. 2012 May-Jun; 28(3):224-7.OP

Abstract

PURPOSE

To describe a technique for treatment of lower-eyelid tarsal ectropion using the Putterman ptosis clamp for excision of conjunctiva and Mueller's muscle as an adjunct to the lateral canthal tendon tuck.

METHODS

Retrospective case series. Patients with moderate-to-severe lower-eyelid ectropion underwent lateral canthal tendon tucking followed by eversion of the lower eyelid over a desmarres retractor, separation of the lower-eyelid conjunctiva and Mueller's muscle from the underlying capsulopalpebral fascia, placement of the Putterman ptosis clamp, and resection of the incarcerated tissue followed by closure of the conjunctiva and the lateral canthus.

RESULTS

Six patients and 8 eyes were studied. Of the 8 eyes, 6 (75%) had complete resolution of tarsal ectropion and 2 (25%) had mild residual ectropion at last follow up. All 8 eyes (100%) had symptomatic improvement and 0 patients required re-operation. There were no noted severe adverse events.

CONCLUSION

Lower-eyelid conjunctival Mueller's muscle resection using the Putterman ptosis clamp as an adjunct to lateral canthal tendon reinforcement is a safe and effective procedure in the treatment of lower-eyelid tarsal ectropion.

Authors+Show Affiliations

Illinois Eye and Ear Infirmary, University of Illinois at Chicago, Department of Ophthalmology and Visual Sciences, Chicago, Illinois, USA.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22460682

Citation

Singa, Ramesh M., et al. "Lower-eyelid Tarsal Ectropion Repair With the Putterman Ptosis Clamp for Lower-eyelid Conjunctival Mueller's Muscle Resection and Lateral Tendon Tuck." Ophthalmic Plastic and Reconstructive Surgery, vol. 28, no. 3, 2012, pp. 224-7.
Singa RM, Aakalu VK, Putterman AM, et al. Lower-eyelid tarsal ectropion repair with the Putterman ptosis clamp for lower-eyelid conjunctival Mueller's muscle resection and lateral tendon tuck. Ophthalmic Plast Reconstr Surg. 2012;28(3):224-7.
Singa, R. M., Aakalu, V. K., Putterman, A. M., & Epstein, G. A. (2012). Lower-eyelid tarsal ectropion repair with the Putterman ptosis clamp for lower-eyelid conjunctival Mueller's muscle resection and lateral tendon tuck. Ophthalmic Plastic and Reconstructive Surgery, 28(3), 224-7. https://doi.org/10.1097/IOP.0b013e31824a4b0c
Singa RM, et al. Lower-eyelid Tarsal Ectropion Repair With the Putterman Ptosis Clamp for Lower-eyelid Conjunctival Mueller's Muscle Resection and Lateral Tendon Tuck. Ophthalmic Plast Reconstr Surg. 2012 May-Jun;28(3):224-7. PubMed PMID: 22460682.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Lower-eyelid tarsal ectropion repair with the Putterman ptosis clamp for lower-eyelid conjunctival Mueller's muscle resection and lateral tendon tuck. AU - Singa,Ramesh M, AU - Aakalu,Vinay K, AU - Putterman,Allen M, AU - Epstein,Gil A, PY - 2012/3/31/entrez PY - 2012/3/31/pubmed PY - 2012/7/21/medline SP - 224 EP - 7 JF - Ophthalmic plastic and reconstructive surgery JO - Ophthalmic Plast Reconstr Surg VL - 28 IS - 3 N2 - PURPOSE: To describe a technique for treatment of lower-eyelid tarsal ectropion using the Putterman ptosis clamp for excision of conjunctiva and Mueller's muscle as an adjunct to the lateral canthal tendon tuck. METHODS: Retrospective case series. Patients with moderate-to-severe lower-eyelid ectropion underwent lateral canthal tendon tucking followed by eversion of the lower eyelid over a desmarres retractor, separation of the lower-eyelid conjunctiva and Mueller's muscle from the underlying capsulopalpebral fascia, placement of the Putterman ptosis clamp, and resection of the incarcerated tissue followed by closure of the conjunctiva and the lateral canthus. RESULTS: Six patients and 8 eyes were studied. Of the 8 eyes, 6 (75%) had complete resolution of tarsal ectropion and 2 (25%) had mild residual ectropion at last follow up. All 8 eyes (100%) had symptomatic improvement and 0 patients required re-operation. There were no noted severe adverse events. CONCLUSION: Lower-eyelid conjunctival Mueller's muscle resection using the Putterman ptosis clamp as an adjunct to lateral canthal tendon reinforcement is a safe and effective procedure in the treatment of lower-eyelid tarsal ectropion. SN - 1537-2677 UR - https://www.unboundmedicine.com/medline/citation/22460682/Lower_eyelid_tarsal_ectropion_repair_with_the_Putterman_ptosis_clamp_for_lower_eyelid_conjunctival_Mueller's_muscle_resection_and_lateral_tendon_tuck_ L2 - https://doi.org/10.1097/IOP.0b013e31824a4b0c DB - PRIME DP - Unbound Medicine ER -