J Korean Ophthalmol Soc.  2015 Oct;56(10):1635-1639. 10.3341/jkos.2015.56.10.1635.

Eyelid Stretching Exercise Performed in Overcorrection after Levator Resection in Congenital Ptosis

Affiliations
  • 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.

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.

Keyword

Congenital ptosis; Eyelid stretching exercise; Levator resection
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