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Experience with the modified Putterman procedure.

B Guyuron1, B Davies

  • 1Division of Plastic Surgery, Mount Sinai Medical Center, Cleveland, Ohio.

Plastic and Reconstructive Surgery
|November 1, 1988
PubMed
Summary
This summary is machine-generated.

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This study details a modified Putterman procedure for eyelid ptosis, showing high effectiveness for mild to moderate cases. Phenylephrine eyedrops serve as a key prognostic indicator for successful surgical outcomes.

Area of Science:

  • Ophthalmology
  • Ophthalmic Surgery

Background:

  • Eyelid ptosis, particularly mild to moderate cases, requires effective surgical correction.
  • The Putterman procedure is a known surgical technique for ptosis repair.

Purpose of the Study:

  • To report outcomes of a modified Putterman procedure for eyelid ptosis.
  • To evaluate the efficacy of phenylephrine eyedrops as a prognostic indicator.

Main Methods:

  • A modified Putterman procedure involving resection of Müller's muscle and conjunctiva (6-9 mm) was performed on 43 eyelids.
  • Patients were pre-operatively evaluated with 2.5% phenylephrine eyedrops to assess prognostic indicators.
  • Surgical repair utilized a running 6-0 Prolene horizontal mattress technique under local anesthesia.

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Main Results:

  • The modified procedure was highly effective in 43 eyelids for mild to moderate ptosis (≤3 mm) with normal levator function.
  • One case of slight overcorrection was noted; no other complications occurred.
  • Minimal recovery time was observed.

Conclusions:

  • The modified Putterman procedure is a simple and effective surgical option for selected patients with mild to moderate eyelid ptosis.
  • Phenylephrine eyedrop testing is a valuable prognostic tool for patient selection.
  • Excellent results and minimal recovery time can be expected with this technique.