Blepharoptosis
Conditions
Keywords
Conjunctival Mullerectomy, Blepharoptosis, Ptosis surgery, Pain Control
Brief summary
Conjunctival Mullerectomy is a well known procedure used to correct upper lid ptosis via a posterior approach. Patients who undergo this procedure are often given local anesthesia to alleviate intraoperative and postoperative pain. Local anesthesia can be given via frontal nerve block or subconjunctival injection combined with sedation in most cases. Both techniques are currently acceptable options for local anesthesia, however postoperative pain has not been systematically evaluated between these two techniques. The investigators aim to compare intra-operative and postoperative pain with these two techniques in patients undergoing conjunctival Mullerectomy for ptosis repair. Patients will be randomized to receive local anesthesia via frontal nerve block or via subconjunctival injection. In addition, the investigators will measure the surgical outcomes of the ptosis surgery with standard measures.
Interventions
PROCEDUREFrontal nerve block with 2% lidocaine with 1:100,000 dilution of epinephrine
Frontal Nerve Block 5 cc will be administered preoperatively once.
PROCEDURESubconjunctival injection of 2% lidocaine with 1:100,000 dilution with epinephrine
Patients will receive a 1.5 cc dose of subconjunctival lidocaine as above
Sponsors
University of Miami
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 100 Years
Healthy volunteers
Yes
Inclusion criteria
* 18 years of age and older * Patient with ptosis that requires correction * Patient is able to consent for themselves
Exclusion criteria
* Patient unable to complete survey * Patient had prior lid surgery * Patient taking chronic pain medication
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain control | 24 hour after surgery | Patients will be asked to complete a survey regardning pain assessment twenty-four hours after completion of surgery. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Efficacy of ptosis surgery | 2 months | Standard measures include marginal reflex distanced, palpebral fissure and levator fucntion will be used to assess the efficacy of the ptosis surgery and compared to the type of anesthesia the patient was given. |
| Pain Control | 1 hour after surgery | completion of survey to assess pain after surgery has been completed. |
Countries
United States
Outcome results
None listed