Downgaze Eyelid Position in Patients with Blepharoptosis
Purpose: To prospectively examine the change in upper eyelid position on downgaze in patients with blepharoptosis. Methods: Upper eyelid margin to corneal light reflex distance (uMRD) was measured in primary gaze and in 30° to 40° downgaze in 50 consecutive patients with acquired ptosis and 10 conse...
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| Veröffentlicht in: | Ophthalmology (Rochester, Minn.) Minn.), 1995-10, Vol.102 (10), p.1517-1523 |
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| creator | Meyer, Dale R. Rheeman, Charles H. |
| description | Purpose: To prospectively examine the change in upper eyelid position on downgaze in patients with blepharoptosis.
Methods: Upper eyelid margin to corneal light reflex distance (uMRD) was measured in primary gaze and in 30° to 40° downgaze in 50 consecutive patients with acquired ptosis and 10 consecutive patients with congenital ptosis.
Results: For the acquired ptosis group, the mean change in uMRD on downgaze was −0.8 mm (range, −2.5 to 1.0 mm), with one patient (2%) showing an increase, 10 (20%) no change, and 39 (78%) a decrease in upper eyelid position. For the congenital group, the mean change in uMRD on downgaze was +2.1 mm (range, 1.0–4.0 mm), with all patients demonstrating an increase in upper eyelid position. The difference between the group means was highly significant (P < 0.001).
Conclusions: Worsening of ptosis on downgaze is common with acquired ptosis and likely represents a normal physiologic process, which may exacerbate functional impairment of activities (i.e., reading) in this gaze position. The consistent increase in upper eyelid position on downgaze in patients with typical congenital ptosis is an abnormal differentiating sign. |
| doi_str_mv | 10.1016/S0161-6420(95)30837-8 |
| format | Article |
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Methods: Upper eyelid margin to corneal light reflex distance (uMRD) was measured in primary gaze and in 30° to 40° downgaze in 50 consecutive patients with acquired ptosis and 10 consecutive patients with congenital ptosis.
Results: For the acquired ptosis group, the mean change in uMRD on downgaze was −0.8 mm (range, −2.5 to 1.0 mm), with one patient (2%) showing an increase, 10 (20%) no change, and 39 (78%) a decrease in upper eyelid position. For the congenital group, the mean change in uMRD on downgaze was +2.1 mm (range, 1.0–4.0 mm), with all patients demonstrating an increase in upper eyelid position. The difference between the group means was highly significant (P < 0.001).
Conclusions: Worsening of ptosis on downgaze is common with acquired ptosis and likely represents a normal physiologic process, which may exacerbate functional impairment of activities (i.e., reading) in this gaze position. The consistent increase in upper eyelid position on downgaze in patients with typical congenital ptosis is an abnormal differentiating sign.</description><identifier>ISSN: 0161-6420</identifier><identifier>EISSN: 1549-4713</identifier><identifier>DOI: 10.1016/S0161-6420(95)30837-8</identifier><identifier>PMID: 9097800</identifier><identifier>CODEN: OPHTDG</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Blepharoptosis - complications ; Blepharoptosis - congenital ; Blepharoptosis - physiopathology ; Blinking - physiology ; Child ; Child, Preschool ; Eye Movements ; Eyelids - physiology ; Fixation, Ocular ; Humans ; Infant ; Light ; Medical sciences ; Middle Aged ; Ophthalmology ; Prospective Studies ; Tumors and pseudotumors of the eye, orbit, eyelid, lacrimal apparatus</subject><ispartof>Ophthalmology (Rochester, Minn.), 1995-10, Vol.102 (10), p.1517-1523</ispartof><rights>1995 American Academy of Ophthalmology, Inc</rights><rights>1995 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c389t-42669cdaf3d4194bc433cdf29a987bf2e36580a89e7bcd78b8f3c44a60b1cb8d3</citedby><cites>FETCH-LOGICAL-c389t-42669cdaf3d4194bc433cdf29a987bf2e36580a89e7bcd78b8f3c44a60b1cb8d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0161-6420(95)30837-8$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3695456$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9097800$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Meyer, Dale R.</creatorcontrib><creatorcontrib>Rheeman, Charles H.</creatorcontrib><title>Downgaze Eyelid Position in Patients with Blepharoptosis</title><title>Ophthalmology (Rochester, Minn.)</title><addtitle>Ophthalmology</addtitle><description>Purpose: To prospectively examine the change in upper eyelid position on downgaze in patients with blepharoptosis.
Methods: Upper eyelid margin to corneal light reflex distance (uMRD) was measured in primary gaze and in 30° to 40° downgaze in 50 consecutive patients with acquired ptosis and 10 consecutive patients with congenital ptosis.
Results: For the acquired ptosis group, the mean change in uMRD on downgaze was −0.8 mm (range, −2.5 to 1.0 mm), with one patient (2%) showing an increase, 10 (20%) no change, and 39 (78%) a decrease in upper eyelid position. For the congenital group, the mean change in uMRD on downgaze was +2.1 mm (range, 1.0–4.0 mm), with all patients demonstrating an increase in upper eyelid position. The difference between the group means was highly significant (P < 0.001).
Conclusions: Worsening of ptosis on downgaze is common with acquired ptosis and likely represents a normal physiologic process, which may exacerbate functional impairment of activities (i.e., reading) in this gaze position. The consistent increase in upper eyelid position on downgaze in patients with typical congenital ptosis is an abnormal differentiating sign.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Blepharoptosis - complications</subject><subject>Blepharoptosis - congenital</subject><subject>Blepharoptosis - physiopathology</subject><subject>Blinking - physiology</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Eye Movements</subject><subject>Eyelids - physiology</subject><subject>Fixation, Ocular</subject><subject>Humans</subject><subject>Infant</subject><subject>Light</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Ophthalmology</subject><subject>Prospective Studies</subject><subject>Tumors and pseudotumors of the eye, orbit, eyelid, lacrimal apparatus</subject><issn>0161-6420</issn><issn>1549-4713</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1995</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE1LAzEQhoMotVZ_QmEPInpYTTbZbHISrfUDChbUc8gmWRvZbtYktdRf7_aDXr3MHOZ5Z4YHgCGC1wgievPWFZRSksFLnl9hyHCRsgPQRznhKSkQPgT9PXIMTkL4ghBSikkP9DjkBYOwD9iDWzaf8tck45WprU6mLthoXZPYJpnKaE0TQ7K0cZbc16adSe_a2CHhFBxVsg7mbNcH4ONx_D56TievTy-ju0mqMOMxJRmlXGlZYU0QJ6UiGCtdZVxyVpRVZjDNGZSMm6JUumAlq7AiRFJYIlUyjQfgYru39e57YUIUcxuUqWvZGLcIoig44TyjHZhvQeVdCN5UovV2Lv1KICjWxsTGmFjrEDwXG2OCdbnh7sCinBu9T-0UdfPz3VwGJevKy0bZsMcw5TnJ1-dvt5jpZPxY40VQnTxltPVGRaGd_eeRP0M8h5E</recordid><startdate>19951001</startdate><enddate>19951001</enddate><creator>Meyer, Dale R.</creator><creator>Rheeman, Charles H.</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19951001</creationdate><title>Downgaze Eyelid Position in Patients with Blepharoptosis</title><author>Meyer, Dale R. ; Rheeman, Charles H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c389t-42669cdaf3d4194bc433cdf29a987bf2e36580a89e7bcd78b8f3c44a60b1cb8d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1995</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Blepharoptosis - complications</topic><topic>Blepharoptosis - congenital</topic><topic>Blepharoptosis - physiopathology</topic><topic>Blinking - physiology</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Eye Movements</topic><topic>Eyelids - physiology</topic><topic>Fixation, Ocular</topic><topic>Humans</topic><topic>Infant</topic><topic>Light</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Ophthalmology</topic><topic>Prospective Studies</topic><topic>Tumors and pseudotumors of the eye, orbit, eyelid, lacrimal apparatus</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Meyer, Dale R.</creatorcontrib><creatorcontrib>Rheeman, Charles H.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Ophthalmology (Rochester, Minn.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Meyer, Dale R.</au><au>Rheeman, Charles H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Downgaze Eyelid Position in Patients with Blepharoptosis</atitle><jtitle>Ophthalmology (Rochester, Minn.)</jtitle><addtitle>Ophthalmology</addtitle><date>1995-10-01</date><risdate>1995</risdate><volume>102</volume><issue>10</issue><spage>1517</spage><epage>1523</epage><pages>1517-1523</pages><issn>0161-6420</issn><eissn>1549-4713</eissn><coden>OPHTDG</coden><abstract>Purpose: To prospectively examine the change in upper eyelid position on downgaze in patients with blepharoptosis.
Methods: Upper eyelid margin to corneal light reflex distance (uMRD) was measured in primary gaze and in 30° to 40° downgaze in 50 consecutive patients with acquired ptosis and 10 consecutive patients with congenital ptosis.
Results: For the acquired ptosis group, the mean change in uMRD on downgaze was −0.8 mm (range, −2.5 to 1.0 mm), with one patient (2%) showing an increase, 10 (20%) no change, and 39 (78%) a decrease in upper eyelid position. For the congenital group, the mean change in uMRD on downgaze was +2.1 mm (range, 1.0–4.0 mm), with all patients demonstrating an increase in upper eyelid position. The difference between the group means was highly significant (P < 0.001).
Conclusions: Worsening of ptosis on downgaze is common with acquired ptosis and likely represents a normal physiologic process, which may exacerbate functional impairment of activities (i.e., reading) in this gaze position. The consistent increase in upper eyelid position on downgaze in patients with typical congenital ptosis is an abnormal differentiating sign.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>9097800</pmid><doi>10.1016/S0161-6420(95)30837-8</doi><tpages>7</tpages></addata></record> |
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| ispartof | Ophthalmology (Rochester, Minn.), 1995-10, Vol.102 (10), p.1517-1523 |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Adult Aged Aged, 80 and over Biological and medical sciences Blepharoptosis - complications Blepharoptosis - congenital Blepharoptosis - physiopathology Blinking - physiology Child Child, Preschool Eye Movements Eyelids - physiology Fixation, Ocular Humans Infant Light Medical sciences Middle Aged Ophthalmology Prospective Studies Tumors and pseudotumors of the eye, orbit, eyelid, lacrimal apparatus |
| title | Downgaze Eyelid Position in Patients with Blepharoptosis |
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