Experience with the modified Putterman procedure.

摘要: Results using our modification of the Putterman procedure are reported in 43 eyelids. The is very effective cases minimal to moderate eyelid ptosis (3 mm or less) and presence normal levator function. patients, following a thorough clinical evaluation, tested 2.5% phenylephrine eyedrop solution, which acts as an extremely useful prognostic indicator. Depending on degree response phenylephrine, 6 9 combined Muller's muscle conjunctiva resected specially designed clamp under local attended anesthesia (no tarsal plate resected). incision repaired running 6-0 Prolene horizontal mattress technique, ends brought up through skin tied over plate. In treatment eyelids, with exception one slight overcorrection, there were no complications encountered this simple procedure. Excellent results can be expected properly selected recovery time minimal. Our success last 4 years modified allows us strongly recommend it for correction mild when acceptable phenylephrine.