{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T20:25:21Z","timestamp":1777580721476,"version":"3.51.4"},"reference-count":25,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2020,10,29]],"date-time":"2020-10-29T00:00:00Z","timestamp":1603929600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Ophthalmology"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:sec>\n                    <jats:title>Aims:<\/jats:title>\n                    <jats:p>To compare predictability of the outcomes of Muller\u2019s muscle conjunctiva resection (MMCR) in patients with severe versus mild\/moderate involutional aponeurotic ptosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This was a retrospective case-control study. All cases were recruited into the groups in terms of preoperative marginal reflex distance of upper eyelid (MRD-1). Group 1 consisted of patients with mild to moderate blepharoptosis was defined as an MRD-1 equal to 1.1 to 3\u2009mm and Group 2 consisted of patients with severe blepharoptosis defined as MRD-1\u2009\u2a7d\u20091\u2009mm. All patients underwent MMCR based on the response to phenylephrine and the amount of ptosis. MRD-1 obtained both manually and with ImageJ analysis program preoperatively and on the postoperative sixth month was compared. Successful surgical outcome criteria were defined as MRD-1\u2009\u2a7e\u20092.5\u2009mm and inter-eyelid symmetry\u2009\u2a7d\u20091\u2009mm.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 97 eyes of 83 participants met the inclusion criteria for this study (Group 1 n\u2009=\u200950, Group 2 n\u2009=\u200947). In terms of MRD-1 success rates were 88% in Group 1, and 70.2% in Group 2 ( p\u2009=\u20090.03). Preoperative MRD-1 which was measured by ImageJ, and the amount of resected tissue in mm were the predictive data of surgical outcome by the logistic regression analysis (OR 6.45, 95% CI 1.82\u201322.78, p\u2009=\u20090.004, OR 2.47, 95% CI 1.05\u20135.80, p\u2009=\u20090.037, respectively).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The surgical success of MMCR can be predicted via tissue resection length and preoperative MRD-1. Higher surgical success rates were obtained in cases with mild-moderate ptosis and clinically acceptable success rates were obtained in cases with severe ptosis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1120672120963454","type":"journal-article","created":{"date-parts":[[2020,10,29]],"date-time":"2020-10-29T06:03:36Z","timestamp":1603951416000},"page":"3436-3441","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Comparing the outcome of Muller\u2019s muscle conjunctival resection for mild\/moderate versus severe involutional aponeurotic ptosis"],"prefix":"10.1177","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1749-8119","authenticated-orcid":false,"given":"Senay Asik","family":"Nacaroglu","sequence":"first","affiliation":[{"name":"Istanbul Beyoglu Eye Research and Training Hospital, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0403-9749","authenticated-orcid":false,"given":"Gamze Ozturk","family":"Karabulut","sequence":"additional","affiliation":[{"name":"Istanbul Beyoglu Eye Research and Training Hospital, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5808-7634","authenticated-orcid":false,"given":"Korhan","family":"Fazil","sequence":"additional","affiliation":[{"name":"Istanbul Beyoglu Eye Research and Training Hospital, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kubra","family":"Serefoglu Cabuk","sequence":"additional","affiliation":[{"name":"Istanbul Beyoglu Eye Research and Training Hospital, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nilay","family":"Kandemir Besek","sequence":"additional","affiliation":[{"name":"Istanbul Beyoglu Eye Research and Training Hospital, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muhittin","family":"Taskapili","sequence":"additional","affiliation":[{"name":"Istanbul Beyoglu Eye Research and Training Hospital, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,10,29]]},"reference":[{"key":"bibr1-1120672120963454","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.1975.01010020595007"},{"key":"bibr2-1120672120963454","doi-asserted-by":"publisher","DOI":"10.1097\/IOP.0b013e31820ccce1"},{"key":"bibr3-1120672120963454","doi-asserted-by":"publisher","DOI":"10.1038\/sj.eye.6700623"},{"key":"bibr4-1120672120963454","doi-asserted-by":"publisher","DOI":"10.1097\/IOP.0b013e31820d8749"},{"key":"bibr5-1120672120963454","doi-asserted-by":"publisher","DOI":"10.1097\/01.IOP.0000087071.78407.9A"},{"key":"bibr6-1120672120963454","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2005.03.033"},{"key":"bibr7-1120672120963454","doi-asserted-by":"publisher","DOI":"10.1038\/s41433-018-0105-4"},{"key":"bibr8-1120672120963454","doi-asserted-by":"publisher","DOI":"10.1097\/IOP.0b013e3181cb79a2"},{"key":"bibr9-1120672120963454","doi-asserted-by":"publisher","DOI":"10.1080\/01676830.2017.1279650"},{"key":"bibr10-1120672120963454","doi-asserted-by":"publisher","DOI":"10.1080\/01676830.2018.1477805"},{"key":"bibr11-1120672120963454","doi-asserted-by":"publisher","DOI":"10.3109\/01676831003666447"},{"key":"bibr12-1120672120963454","doi-asserted-by":"publisher","DOI":"10.1097\/IOP.0000000000000748"},{"key":"bibr13-1120672120963454","doi-asserted-by":"publisher","DOI":"10.1097\/00002341-200211000-00007"},{"key":"bibr14-1120672120963454","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2020.04.039"},{"key":"bibr15-1120672120963454","doi-asserted-by":"publisher","DOI":"10.1097\/00002341-199106000-00005"},{"key":"bibr16-1120672120963454","doi-asserted-by":"publisher","DOI":"10.3109\/01676830.2014.999096"},{"key":"bibr17-1120672120963454","doi-asserted-by":"publisher","DOI":"10.1097\/IOP.0b013e3181929a14"},{"key":"bibr18-1120672120963454","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.1993.01090060165043"},{"key":"bibr19-1120672120963454","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2006.01.032"},{"key":"bibr20-1120672120963454","doi-asserted-by":"publisher","DOI":"10.1080\/01676830601169205"},{"key":"bibr21-1120672120963454","doi-asserted-by":"publisher","DOI":"10.1097\/IOP.0000000000001594"},{"issue":"6","key":"bibr22-1120672120963454","first-page":"354","volume":"17","author":"Putterman AM","year":"1986","journal-title":"Ophthalmic Surg"},{"key":"bibr23-1120672120963454","doi-asserted-by":"publisher","DOI":"10.1097\/IOP.0000000000001065"},{"key":"bibr24-1120672120963454","doi-asserted-by":"publisher","DOI":"10.3109\/01676830.2014.999287"},{"key":"bibr25-1120672120963454","doi-asserted-by":"publisher","DOI":"10.1136\/bjophthalmol-2012-302541"}],"container-title":["European Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1120672120963454","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1120672120963454","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1120672120963454","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T19:43:33Z","timestamp":1777405413000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1120672120963454"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10,29]]},"references-count":25,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2021,11]]}},"alternative-id":["10.1177\/1120672120963454"],"URL":"https:\/\/doi.org\/10.1177\/1120672120963454","relation":{},"ISSN":["1120-6721","1724-6016"],"issn-type":[{"value":"1120-6721","type":"print"},{"value":"1724-6016","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,10,29]]}}}