Eyelid Stretching Exercise Performed in Overcorrection after Levator Resection in Congenital Ptosis.

Moon, Ka Young; You, In Cheon; Ahn, Min

doi:2015.56.10.1635

J Korean Ophthalmol Soc > Volume 56(10); 2015 > Article

Case Report

Journal of the Korean Ophthalmological Society 2015;56(10):1635-1639.
DOI: https://doi.org/10.3341/jkos.2015.56.10.1635 Published online October 15, 2015.

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⋅유인천^1,2,3⋅안 민^1,2,3

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