Journal of the Korean Ophthalmological Society 1989;30(2):171-174.
Published online February 1, 1989.
Average Value of Margin Limbal Distance in Koreans.
Eun Hee Bae, Sang Jin Kim, Joon Sup Oh
Department of Ophthalmology, College of Medicine, Keimyung University, Daegu, Korea.
한국인에 있어서 Margin Limbal Distance 의 평균치
배언희(Eun Hee Bae),김상진(Sang Jin Kim),오준섭(Joon Sup Oh)
Abstract
The measurement of levator muscle function is the most important step in the evaluation of patients with blepharoptosis and also the most important factor in the choice of operation for blepharoptosis. There are two methods in measuring the levatormuscle function; one is Berke's method and the other is margin limbal distance(MLD). When the levator muscle resection procedure is indicated in blepharoptotic patients, preoperative MLD value is the clue to determine the amount of levator muscle to be resected by the MLD formula. MLD was measured in 419 normal Koreans who were examined in the Depart ment of Ophthalmology, Keimyung University School of Medicine from October 1987 to August 1988. The results were as follows: 1. The average value of MLD was 6.3 +/- 1.2mm. 2. The average value of MLD in males was 6.3 +/- 1.3mm and 6.2 +/- 1.2mm in females. 3. The average value of MLD in both eyes was 6.3 +/- 1.2mm. 4. The average value of MLD in different age groups was 5.7 +/- 1.0mm in the below 10 age gruop, 6.0 +/- 1.1mm in the 11-20 age group, 6.8 +/- 1.2mm in the 21-30 age group, 6.8 +/- 1.3mm in the 31-40 age group, 6.4 +/- 1.2mm in the 41-50 age group, 6.1 +/- 1.3mm in the 51-60 age group and 6.3 +/- 1.1mm in the above 60 age group, respectively. The average value of MLD was significantly different in the different age groups(p<0.01). Thus, the average value of MLD in normal Koreans was 6.3 +/- 1.2mm, which is significantly different from the 9mm of Putterman's. So we must consider 6.3 +/- 1.2mm as the normal value of MLD when determining the amount of levator muscle resection by the MLD formula.


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