PubMed · 7239813
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D Miller. 1981. Systemic medications.. https://pubmed.ncbi.nlm.nih.gov/7239813/
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Previous studies of the characteristics of suppression occurring under various visual conditions show similarities and differences which may indicative of the mechanism of suppression. The primary purpose of this study was to determine if the suppression that occurs in response to an eyelid blink (blink suppression) is similar to that which occurs during a saccade (saccadic suppression). In addition, the characteristics of blink suppression and other forms of suppression (i.e. permanent and binocular rivalry suppression) are compared. A test probe paradigm was utilized to determine the effect of blink suppression on the spectral sensitivity function in three normal observers. Employing a two alternative forced choice technique, thresholds were determined for wavelengths from 420 to 680 nm in 20 nm steps. At each wavelength, the threshold was determined at 0 and 400 msec after the onset of a voluntary blink. The magnitude of suppression was taken as the difference between the 0 and 400 msec thresholds. Similar to saccadic suppression, the magnitude of blink suppression increased as the stimuli biased detection towards the luminance channel. These results suggest that blink suppression and saccadic suppression are the result of a single mechanism. Similarities between blink suppression and other forms of visual suppression are also considered.
PURPOSE: We evaluated quantitatively, with electromyography, the function of orbicularis oculi muscle flaps in modified Hughes reconstructions of the lower eyelids. METHODS: A modified Hughes procedure with a bipedicle orbicularis oculi flap was used to reconstruct large left lower eyelid defects after tumor excision in six consecutive patients. Standard needle electromyography and facial nerve conduction studies were performed on each reconstructed lower eyelid, and results were compared with those of the unoperated-on right lower eyelid. Electromyographic studies were performed between 143 and 517 days after division of the tarsoconjunctival flap. RESULTS: Blink reflexes and results of facial nerve studies were normal and similar on both sides. All operated-on eyelids demonstrated electromyographic activity during voluntary orbicularis contraction. The functional and cosmetic results were satisfactory in all patients. No complications of reconstruction, such as eyelid retraction, ectropion, tissue necrosis, or abnormal contour or thickness, occurred. CONCLUSIONS: A modified Hughes procedure using a bipedicle orbicularis oculi flap provides viable, electrically active muscle to the reconstructed lower eyelid and may enhance the functional results.