Document Detail

Isolated unilateral neurogenic blepharoptosis secondary to eyelid trauma.
MedLine Citation:
PMID:  12383834     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To describe eyelid trauma as a cause of isolated neurogenic blepharoptosis. DESIGN:Observational case series. METHODS: Three previously healthy patients (two male and one female; aged 29 to 39 years) were evaluated for unilateral blepharoptosis following forceful anterior displacement of the upper eyelid. Two injuries occurred during domestic altercations and one while the patient was playing basketball. RESULTS: All three patients had complete unilateral upper eyelid ptosis with no levator palpebrae superioris function, consistent with loss of innervation. Additional findings included minimal eyelid ecchymosis, eyelid edema, and subconjunctival hemorrhage in two cases. The remainder of the examinations was unremarkable with full ocular motility and no anisocoria. Without treatment, within 2 weeks, all three patients recovered completely with normal symmetric lid height and levator function. CONCLUSIONS: Isolated neurogenic blepharoptosis may result from traumatic anterior upper eyelid displacement. Resolution is likely within 2 weeks.
Timothy J McCulley; Robert C Kersten; Chee-Chew Yip; Dwight R Kulwin
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of ophthalmology     Volume:  134     ISSN:  0002-9394     ISO Abbreviation:  Am. J. Ophthalmol.     Publication Date:  2002 Oct 
Date Detail:
Created Date:  2002-10-17     Completed Date:  2002-11-06     Revised Date:  2010-03-23    
Medline Journal Info:
Nlm Unique ID:  0370500     Medline TA:  Am J Ophthalmol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  626-7     Citation Subset:  AIM; IM    
Department of Ophthalmology, University of Cincinnati, and the Cincinnati Eye Institute, Ohio, USA.
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MeSH Terms
Blepharoptosis / etiology*,  physiopathology
Eyelids / injuries*,  innervation*,  physiopathology
Oculomotor Nerve / injuries*
Remission, Spontaneous
Wounds, Nonpenetrating / complications*

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