The eyelids: Some common disorders seen in everyday practice
blepharitis; ectropion; entropion; eyelids; Geriatrics & Gerontology; hordeolum; malignancies; ptosis; retraction
The eyelids, essential to protecting and cleansing the eye, are a common site for a range of disorders affecting older adults. Some of the e are benign and some serious, with the most clinically important being suspicious lid lesions that may harbor malignancy and neurologic disorders, as well as structural malpositions. that cause poor lid function and may lead to globe damage and visual impairment. The ability to recognize eyelid problems is Important; as they often present first to the primary care physician. Some eyelid disorders can be successfully treated quickly and easily in the office setting, whereas others may be chronic and more difficult to manage, requiring referral to an ophthalmologist or oculoplastic specialist.
Zucker J L
Geriatrics
2009
2009-04
Journal Article
n/a
The effect of eyebrow stenting on the measurement of levator excursion in normal and ptotic eyelids.
levator function; Levator palpebrae superioris; preoperative assessment; ptosis
INTRODUCTION: Levator function is classically estimated by measuring upper eyelid excursion (ULE) with digital brow stenting. The purpose of this study is to compare ULE with and without brow stenting in normal and ptotic eyelids. METHODS: In this prospective observational study, normal and ptotic eyelids were recruited. Subjects were photographed with and without digital brow stenting in primary position, downgaze, and upgaze. Measurements were conducted on digital photographs. The primary outcome measure was ULE (distance travelled by the eyelid margin between downgaze and upgaze). Normal and ptosis (MRD1 /= 1 mm) subgroups were defined. Independent one-way ANOVA and independent samples t-tests were performed. This study was powered to detect a 1 mm difference in the primary outcome measure, assuming SD = 1 mm, with alpha = 0.05 and beta-error = 0.95. RESULTS: Twenty-eight normal eyelids of 22 subjects and 28 ptotic eyes of 18 subjects were included. Stenting significantly (p \textless 0.01) increased ULE in the overall sample (+0.9 mm) and in controls (+1.2 mm), but not (p \textgreater 0.05) in ptotic eyelids (+0.5 mm). Post hoc analysis revealed a beta-error of 0.08 in the latter. CONCLUSION: ULE was significantly higher with brow stenting in normal eyelids (approximately +1.2 mm) but not in ptotic eyelids, possibly due to increased levator tone secondary to increased effort in the coupled frontalis.
Yeganeh Amir; Sinha Kunal R; Fell David; Rootman Daniel B
Orbit (Amsterdam, Netherlands)
2018
2018-11
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<a href="http://doi.org/10.1080/01676830.2018.1537289" target="_blank" rel="noreferrer noopener">10.1080/01676830.2018.1537289</a>