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

• Moon KY
• You IC
• Ahn M

• KMID: 2214427
• DOI: http://doi.org/10.3341/jkos.2015.56.10.1635

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

MeSH Terms

Eyelids*
Humans
Reflex

Figure

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  Figure 1. Photograph showing eyelid stretching exercise.

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  Figure 2. Photographs of patient 1 (1A-1C), 2 (2A-2C), 3 (3A-3C) and 4 (4A-4C). (1A, 2A, 3A, 4A) Before the operation of levator resection. (1B, 2B, 3B, 4B) One week after the operation. (1C, 2C, 3C, 4C) Final postoperative appearance after eyelid stretching exercise for two or three weeks.

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  Figure 3. Photographs of patient 5 (1A-1C), 6 (2A-2C), 7 (3A-3C) and 8 (4A-4C). (1A, 2A, 3A, 4A) Before the operation of levator resection. (1B, 2B, 3B, 4B) One week after the operation. (1C, 2C, 3C, 4C) Final postoperative appearance after eyelid stretching exercise for two or three weeks.

Reference

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