Biomedical subjects

A M Putterman

Publications and source records attributed to A M Putterman.

At least 127 records · Page 7Linked to original sources

PubMed1975

Müller muscle-conjunctiva resection. Technique for treatment of blepharoptosis.

A new technique for resecting the Müller muscle and the conjunctiva for correction of blepharoptosis has been developed. The operation is performed on all patients in whom a 10% phenylephrine hydrochloride solution instilled in the conjunctival cul-de-sac will elevate the blepharoptotic eyelid to a cosmetically acceptable level. The results of the surgery have been satisfactory in 27 of 28 operated eyelids.

Adolescent↗

PubMed1975

Temporary blindness after cosmetic blepharoplasty.

A patient who underwent a cosmetic blepharoplasty suffered a retrobulbar hemorrhage with no light perception deception detected when the dressing was removed two hours postoperatively. Opening the incision site led to the complete return of visual acuity and ocular motility and relief of the proptosis. The rebleeding of cauterized blood vessels may have caused the retrobulbar hemorrhage and seems to be a potential problem in all cosmetic blepharoplasties. Eliminating the use of postoperative bandages may prevent blindness after cosmetic blepharoplasty since it allows early detection of a retrobulbar hemmorrhage. This allows the nurse to check the patient for loss of vision and proptosis at ten-minute intervals for the first two hours after surgery so immediate treatment can be implemented if retrobulbar hemorrhage and central retinal artery occlusion occur.

Blindness↗

PubMed1975

Upper eyelid retraction after glaucoma filtering procedures.

After glaucoma filtration surgery, 2 patients developed overaction of Müller's muscle with resultant upper eyelid retraction. We theorize that stimulation of Müller's muscle is caused by a sympathomimetic chemical in the aqueous that travels from the bleb, under the bulbar and palpebral conjunctiva, to Muüller's muscle. In one case excision of Muüller's muscle relieved the retraction. In the other case, preventing aqueous from reaching Müller's muscle reduced the retraction.

Aged↗

PubMed1975

Treatment of enophthalmic narrow palpebral fissure after blow-out fracture.

Surgery for a narrow palpebral fissure caused by enophthalmos after a blow-out orbital fracture was performed in three patients from seven months to three years after injury. The surgery was directed not to the cause of the enophthalmos, but to the narrowed palpebral fissure which was the noticeable cosmetic defect. The surgical procedure used to widen the palpebral fissure was the Müller's muscle-conjunctival resection blepharoptosis operation, and a phenylephrine test was used preoperatively to select candidates for this operation. After widening of the palpebral fissure, which created the illusion of exophthalmos, the cosmetic result was acceptable.

Adult↗

PubMed1974