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Related Concept Videos

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Related Experiment Video

Updated: May 7, 2026

Induction of Ocular Surface Inflammation and Collection of Involved Tissues
06:38

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Published on: August 4, 2022

Tear function and ocular surface after Muller muscle-conjunctival resection.

Suat Hayri Uğurbaş, Atilla Alpay1, Burak Bahadır

  • 1Department of Ophthalmology, Bülent Ecevit University, Zonguldak, Turkey.

Indian Journal of Ophthalmology
|October 4, 2013
PubMed
Summary

Muller muscle-conjunctival resection (MCR) surgery for ptosis does not significantly impact tear function or ocular surface health. This prospective study found no adverse effects on tear tests or goblet cell density in patients with normal preoperative tear function.

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Area of Science:

  • Ophthalmology
  • Oculoplastics

Background:

  • Muller muscle-conjunctival resection (MCR) is a surgical approach for correcting mild to moderate ptosis.
  • Assessing the impact of MCR on ocular surface and tear function is crucial for patient outcomes.

Purpose of the Study:

  • To prospectively evaluate the effects of unilateral MCR surgery on tear function tests and ocular surface parameters.
  • To compare the operated eyes with the fellow control eyes in patients with normal preoperative tear function.

Main Methods:

  • Prospective evaluation of 16 patients undergoing unilateral MCR with normal preoperative tear function.
  • Utilized dry eye questionnaires, Schirmer testing, tear film break-up time, fluorescein staining, Rose-Bengal staining, and conjunctival impression cytology.
  • Fellow eyes served as the control group for comparison.

Main Results:

  • No statistically significant differences were observed in tear function tests between operated and non-operated eyes.
  • Goblet cell densities showed no significant change in the operated eyes compared to controls.
  • The MCR procedure demonstrated no apparent detrimental effect on tear film function or ocular surface.

Conclusions:

  • Muller muscle-conjunctival resection surgery appears safe concerning tear film function and ocular surface health in patients with adequate preoperative tear function.
  • The MCR technique does not adversely affect key indicators of ocular surface homeostasis.
  • Further research may explore long-term effects or outcomes in patients with pre-existing dry eye.