Abstract

Objective: To evaluate the surgical outcomes of MMCR surgery performed with a reverse formula.
Methods: Total of 24 eyes with mild ptosis (≤2 mm) and LPS ≥8 mm and no 2.5% Phenylephrine response were enrolled in this study. MMCR was performed between March 2022-December 2022. With 1mm ptosis, 5 mm resection was done, with 2mm ptosis, 10 mm resection was done. Margin reflex distance(MRD) and Schirmer test measurements were performed preoperatively and on the 1st, 3rd & 6th month postoperatively.
Results: The mean increase in MRD1 was statistically significant at the 1st, 3rd and 6th month postoperatively when compared to preoperative values (p<0.05, Wilcoxon signed ranks test). Postoperative symmetry was achieved in 22 eyes (93.1%).
Conclusion: The reverse algorithm used relies on the mechanism that MMCR in mild ptosis with good LPS activity elevates lid by resection of Mullers, levator, conjunctiva and tarsus, thereby causing its shortening and scaring, hence the lift occurs.

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