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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
DOUBLE
Enrollment
34
Frontal Nerve Block 5 cc will be administered preoperatively once.
Patients will receive a 1.5 cc dose of subconjunctival lidocaine as above
Bascom Palmer Eye Institute
Miami, Florida, United States
Pain control
Patients will be asked to complete a survey regardning pain assessment twenty-four hours after completion of surgery.
Time frame: 24 hour after surgery
Efficacy of ptosis surgery
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.
Time frame: 2 months
Pain Control
completion of survey to assess pain after surgery has been completed.
Time frame: 1 hour after surgery
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