Management of morderate-to-severe Marcus-Gunn syndrome by anastomosis of levator and frontal muscles
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Independent Innovation Research Foundation of Huazhong University of Science and Technology, China(No. 2010JC010)

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    Abstract:

    AIM: To study the effect of clinical management of moderate-to-severe Marcus-Gunn syndrome (MGS) by anastomosis of levator and frontal muscles. METHODS: The medical records of 13 patients with moderate-to-severe MGS who underwent surgeries in our institute between 2000 and 2007 were reviewed retrospectively. They underwent unilateral anastomosis of levator and frontal muscles under local anesthesia. RESULTS: Postoperative follow-up periods ranged from 6 to 36 months, with an average of 12 months. All eyelids (100%) showed complete resolution of jaw-winking, ten eyelids (76.9%) had good correction of ptosis, with equal plapebral apertures and symmetrical contours, three (23.1%) showed residual mild ptosis (<2mm). CONCLUSION: For moderate-to-severe MGS, unilateral ana- stomosis of levator and frontal muscles provides satisfied correction of jaw-winking and ptosis.

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Nan Xiang, Wei-Kun Hu, Bin Li, et al. Management of morderate-to-severe Marcus-Gunn syndrome by anastomosis of levator and frontal muscles. Int J Ophthalmol, 2010,3(4):342-345

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