| Floppy eyelid syndrome: quantifying the effect of horizontal tightening on upper eyelid position. | |
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MedLine Citation:
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PMID: 17624435 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To evaluate the change in upper eyelid position after horizontal surgical tightening in patients with floppy eyelid syndrome. DESIGN: Prospective, noncomparative, interventional case series. PARTICIPANTS: Eighteen patients with a clinical diagnosis of floppy eyelid syndrome. METHODS: Horizontal surgical tightening of the upper eyelid was performed by full-thickness wedge resection in 24 eyelids of 18 patients with floppy eyelid syndrome. Preoperative and postoperative upper eyelid position as measured by the margin reflex distance (MRD) was assessed. Student's paired t test then was used to analyze the change in upper eyelid position after horizontal tightening alone of floppy upper eyelids. MAIN OUTCOME MEASURES: Change in upper eyelid MRD after surgery. RESULTS: Preoperative MRD ranged from -0.5 to 4.0 mm, with a mean of 1.9 mm (+/-1.3 mm, standard deviation [SD]). Postoperative MRD ranged from 0.5 to 6.0 mm, with a mean of 3.2 mm (+/-1.4 mm, SD). The change in MRD ranged from -0.5 to 2.5 mm, with a mean of 1.3 mm (+/-0.7 mm, SD; P<0.001). CONCLUSIONS: Horizontal upper eyelid tightening alone generally results in secondary improvement of the ptosis associated with floppy eyelid syndrome. |
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Authors:
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David M Mills; Dale R Meyer; Andrew R Harrison |
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Publication Detail:
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Type: Journal Article Date: 2007-07-12 |
Journal Detail:
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Title: Ophthalmology Volume: 114 ISSN: 1549-4713 ISO Abbreviation: Ophthalmology Publication Date: 2007 Oct |
Date Detail:
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Created Date: 2007-10-02 Completed Date: 2007-10-18 Revised Date: 2009-01-15 |
Medline Journal Info:
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Nlm Unique ID: 7802443 Medline TA: Ophthalmology Country: United States |
Other Details:
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Languages: eng Pagination: 1932-6 Citation Subset: IM |
Affiliation:
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Ophthalmic Plastic Surgery, Lions Eye Institute, Albany Medical Center, Albany, New York, USA. davidmills4186@msn.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Blepharoplasty Blepharoptosis / physiopathology Eyelid Diseases / physiopathology, surgery* Eyelids / physiopathology, surgery Female Humans Male Middle Aged Oculomotor Muscles / physiopathology Prospective Studies Syndrome |
| Comments/Corrections | |
Comment In:
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Ophthalmology. 2009 Jan;116(1):170-170.e1; author reply 171
[PMID:
19118714
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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