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