Eyelid Stretching Exercise Performed in Overcorrection after Levator Resection in Congenital Ptosis.
10.3341/jkos.2015.56.10.1635
- Author:
Ka Young MOON
1
;
In Cheon YOU
;
Min AHN
Author Information
1. Department of Ophthalmology, Chonbuk National University Medical School, Jeonju, Korea. ahnmin@jbnu.ac.kr
- Publication Type:Case Report
- Keywords:
Congenital ptosis;
Eyelid stretching exercise;
Levator resection
- MeSH:
Eyelids*;
Humans;
Reflex
- From:Journal of the Korean Ophthalmological Society
2015;56(10):1635-1639
- CountryRepublic of Korea
- Language:Korean
-
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.
