Management of morderate-to-severe Marcus-Gunn syndrome by anastomosis of levator and frontal muscles

Nan Xiang; Wei-Kun Hu; Bin Li; Rong Liu

doi:10.3980/j.issn.2222-3959.2010.04.15

Management of morderate-to-severe Marcus-Gunn syndrome by anastomosis of levator and frontal muscles

Int J Ophthalmol. 2010;3(4):342-XXX. doi: 10.3980/j.issn.2222-3959.2010.04.15. Epub 2010 Dec 18.

Authors

Nan Xiang¹, Wei-Kun Hu, Bin Li, Rong Liu

Affiliation

¹ Department of Ophthalmology, Tongji Hospital, Huazhong University of Science and Technology, Wuhan 430023, Hubei Province, China.

PMID: 22553588
PMCID: PMC3340743
DOI: 10.3980/j.issn.2222-3959.2010.04.15

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 anastomosis of levator and frontal muscles provides satisfied correction of jaw-winking and ptosis.

Keywords: Marcus-Gunn syndrome; anastomosis; jaw-winking; ptosis.