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At least 73 records · Page 4Linked to original sources
PubMed1975

[The importance of the eyelids for ophthalmodynamographic recordings-- an oscillographic study before and after total plastic reconstruction of the eyelids (authors transl)].

Ophthalmodynamography (ODG) of an empty orbit apart from a covering of atrophic skin 1mm thick revealed only one twentieth of the pluse amplitude of the contralateral normal orbital oscillographic waves. After total plastic surgical reconstruction of the lids, isolated oscillographiy of the eyelids was performed for the first time. The pulse amplitude now reached about 1/4 of that of the contralateral side. It is concluded that these reconstituted eyelids contribute at least 25% towards the volume and 25% towards the oscillographic pulse wave amplitude on performing ODG in the usual manner. These values could well be exceeded in normal lids on account of their better blood supply.

Adult↗
PubMed2001

Upper eyelid motility in blepharoptosis and in the aging eyelid.

PURPOSE: To study the metrics of lid saccades in blepharoptosis and to distinguish any differences in the dynamics of eyelid movements that are related to the cause of blepharoptosis and to aging. METHODS: The lid and vertical eye saccades of 7 patients with congenital blepharoptosis and those of 18 patients with aponeurogenic blepharoptosis, either involutional or rigid-contact-lens-induced, were recorded with electromagnetic search coils. For each saccade, two parameters were assessed: amplitude and peak velocity. Two age-matched control groups were assessed in the same manner. Repeated measures analysis of variance was used to investigate any observed differences between the included groups. RESULTS: Congenital and rigid-contact-lens-induced blepharoptosis were readily distinguishable from one another, as well as from the age-matched control group, in both lid saccadic amplitude and peak velocity. For example, 40 degrees downward lid saccades in the congenital blepharoptosis group averaged 22.9 degrees +/- 4.0 degrees (SD), whereas 30.0 degrees +/- 4.7 degrees lid saccades were made by the age-matched control group. The subjects in the two groups with aponeurogenic blepharoptosis also made lid saccades that were distinctive for their group (P: < 0.02), in both amplitude and peak velocity. For 40 degrees downward saccades in involutional and rigid-contact-lens-induced blepharoptosis, lid saccadic amplitude averaged 32.7 degrees +/- 4.3 degrees and 40.3 degrees +/- 3.5 degrees, respectively. Lid saccadic peak velocity declined significantly with age. Lid saccadic peak velocity for 40 degrees upward saccades in the younger control group averaged 401.7 +/- 11.4 deg/sec, whereas the older control group achieved an average peak velocity of 360.7 +/- 60.4 deg/sec. The lid saccadic dynamics in the involutional blepharoptosis group proved to be similar (P: > 0.05) in saccadic amplitude and peak velocity to those of age-matched controls. CONCLUSIONS: In different forms of blepharoptosis, distinctive metrics of lid saccades occur. The current data suggest that involutional blepharoptosis is not a consequence of normal age-related changes in eyelid function.

Adult↗
PubMed1994

[Unilateral eyelid swelling in naevus flammeus faciei. Problems in differential diagnosis of unilateral eyelid swelling].

A 32-year-old white woman presented with persistent swelling of the right upper eyelid for diagnosis and therapy. History and physical examination revealed a faint nevus flammeus on the right side of her face and neck and bilateral blepharochalasis, both of which can produce unilateral periorbital swelling. A biopsy taken for histology was diagnostic in this case, since it showed lymphoedema secondary to lymphangiectasias associated with the patient's port-wine stain. Many other possible causes of unilateral lid swelling have to be considered and excluded before a definite diagnosis can be established. The differential diagnosis is discussed.

Adult↗
PubMed2000

[Custom-made gold plate prosthesis in the upper eyelid in patients with facial paralysis: improved eyelid closure with less effects on other eye complaints].

OBJECTIVE: To obtain insight into the results of treatment of lagophthalmos by gold weight implantation in the upper eyelid. DESIGN: Retrospective. METHODS: The records of all 37 patients treated in the Netherlands (1986-1998) were reviewed. All traceable patients (n = 33) were sent a questionnaire and invited for clinical evaluation of the treated eye (n = 28). RESULTS: The average follow-up was 44 months (range: 3-150). Twenty-seven patients (82%) reported improved eye closure. After 6 weeks 13 patients (48%) had no eye complaints (dry eye, epiphora, conjunctivitis). At the clinical evaluation 10 patients (36%) had no such complaints. Nine patients (27%) had to undergo a reintervention because of malposition or spontaneous extrusion of the gold weight. It was removed in 4 of them. Upon closure the average residual palpebral aperture was 1.17 mm (range: 0-5) in the patients with gold weight in situ and 6.00 mm (5-10) in the patients in whom the implant had been removed. CONCLUSION: A better eye closure was obtained in 82% of the patients, while eye complaints resolved in 36% of them.

Adolescent↗
PubMed2001

Prospective evaluation of eyelid function with gold weight implant and lower eyelid shortening for facial paralysis.

OBJECTIVES: To assess which signs and symptoms were relieved by gold weight implantation and which signs and symptoms persisted. DESIGN: Prospective observational cohort. SETTING: Tertiary care neurotology and oncology center. PATIENTS: Sixteen (4 males and 12 females) consecutive patients whose average age was 56 years (age range, 31-76 years). Inclusion criteria were gold weight implant, lagophthalmos of 2 mm or more, and a House-Brackmann score of 3 or less at the completion of follow-up. Mean follow-up was 13 months. INTERVENTIONS: Each patient received a gold weight implant. Six of these patients underwent a lower eyelid procedure. MAIN OUTCOME MEASURES: Surgical complications, static and dynamic lagophthalmos, static and dynamic corneal coverage, visual acuity, keratitis, topical treatment, and patient satisfaction. RESULTS: There were no extrusions. The preoperative mean lagophthalmos was 7.5 mm and the postoperative mean was 0.5 mm, (P<.001). Corneal coverage with eye closure before implantation was 73% and after implantation was 100%, (P<.001). Corneal coverage with normal (reflex) blink was less than 50% in 9 of 14 patients. When wearing correction, no patients had 20/20 visual acuity. The mean patient satisfaction score before the procedure was 3.5 and after was 7.1, (P<.001). Patient satisfaction was most closely related to visual acuity. The relationship was linear and statistically significant (P<.04). CONCLUSIONS: Gold weight implantation provides significant reduction in lagophthalmos and significant improvement in corneal coverage. But owing to delayed closure time and disrupted tear film, irritation may persist. As a result, some patients require ongoing topical treatment of the eye, which can compromise visual acuity.

Adult↗
PubMed1984

[Syndrome of the flaccid eyelid (floppy eyelid syndrome].

Three patients with increasing swelling of the lateral half of the upper lid associated with chronic papillary conjunctivitis which did not respond to therapy were observed. The history, clinical findings, keratinized epithelial cells in the scrapings and the therapeutic success with a protective shield over night suggested the diagnosis of floppy eyelid syndrome.

Chronic Disease↗
PubMed1985

[Iatrogenic teflon granuloma of the eyelid. (Teflon paste, an unsuitable filling material for plastic eyelid surgery)].

A paste of granular Teflon was injected into the upper lid of a patient for remodeling the upper palpebral furrow, which had been retracted by scars. Large foreign-body granulomas developed a few weeks later, necessitating two excisions. The causes of this unsatisfactory result with a filling material which is well established in laryngeal surgery are discussed. The authors advise against using it in well vascularized loose tissue.

Adult↗