Eyelid Stretching Exercise Performed in Overcorrection after Levator Resection in Congenital Ptosis. |
Ka Young Moon, In Cheon You, Min Ahn |
1Department of Ophthalmology, Chonbuk National University Medical School, Jeonju, Korea. ahnmin@jbnu.ac.kr 2Research Institute of Clinical Medicine, Chonbuk National University, Jeonju, Korea. 3Biomedical Research Institute, Chonbuk National University Hospital, Jeonju, Korea. |
눈꺼풀올림근 절제술 후 과교정된 선천 눈꺼풀처짐 환자에서 눈꺼풀 신전 운동 |
문가영1⋅유인천1,2,3⋅안 민1,2,3 |
전북대학교 의학전문대학원 안과학교실1, 전북대학교 임상의학연구소2, 전북대학교병원 의생명연구원3 |
Received: 19 December 2014 • Revised: 1 June 2015 • Accepted: 31 July 2015 |
Abstract |
PURPOSE To report the clinical effect of an eyelid stretching exercise in 8 cases of overcorrected congenital ptosis after levator resection and present a literature review. CASE SUMMARY: Eyelid stretching exercise was performed by pushing the margin of the upper eyelid down. If margin reflex distance 1 (MRD1) asymmetry was larger than 1.5 mm compared with the other eyelid after the stretching exercise for 2 weeks, the exercise was extended for 1 more week. This study included 8 eyes of 8 patients who performed eyelid stretching exercise for 2 weeks when overcorrected 1 week after undergoing levator resection. We compared preoperative MRD1 and postoperative MRD1s for 1 month. Overcorrection was corrected satisfactorily in all patients with bilateral symmetry with eyelid stretching exercise for 2 weeks. Additional exercise did not affect MRD1. CONCLUSIONS: In congenital ptosis overcorrected after levator resection, medical treatment including eyelid stretching exercise could be considered before undergoing a secondary operation. Eyelid stretching exercise can be effective when performed early before fibrous tissue bonds are too firm. |
Key Words:
Congenital ptosis;Eyelid stretching exercise;Levator resection |
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