J Korean Ophthalmol Soc.  2008 Jan;49(1):8-13. 10.3341/jkos.2008.49.1.8.

Changes of Contralateral Eyelid Position after Unilateral Blepharoptosis Repair

• Shin DM
• Jeung WJ
• Ahn HB

• KMID: 2211176
• DOI: http://doi.org/10.3341/jkos.2008.49.1.8

Abstract

PURPOSE: To evaluate the effect of unilateral blepharoptosis repair on contralateral eyelid position.
METHODS
The medical records of 39 patients who had undergone unilateral blepharoptosis repair were reviewed for preoperative and postoperative margin reflex distance (MRD).
RESULTS
Of the 39 patients, 28 (71.8%) had congenital ptosis and 11 (28.2%) revealed acquired ptosis. Twenty-two (56.4%) patients were male and 17 (43.6%) were female. Ages ranged from 3 to 55 years (mean 15.3+/-20.1 years). After unilateral blepharoptosis repair, the postoperative mean (+/-SD) change in MRD of nonoperated eye was -0.3+/-0.7 mm at week one, -0.3+/-0.6 mm at three months, and -0.2+/-0.7 mm at six months.
CONCLUSIONS
After unilateral blepharoptosis repair, 35.9% of patients had a decrease in contralateral eyelid height at postoperative 3 months and amount of decrease was 0.2+/-0.7 mm.

Keyword

Contralateral eyelid position; Unilateral blepharoptosis

MeSH Terms

Blepharoptosis
Eye
Eyelids
Female
Humans
Male
Medical Records
Reflex

Figure

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  Figure 1. Photographs of unilateral frontalis sling operation (A) Before blepharoptosis repair, MRD of the right eye was almost zero. (B) After frontalis sling operation of the right eyelid, MRD of the right eye was 3.0 mm at postoperative 1 week. This patient had no Hering’s law dependence. Contralateral eyelid position was nearly unchanged.

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  Figure 2. Photographs of unilateral levator resection procedure. (A) Before blepharoptosis repair, MRD of the left eye was almost zero. (B) After levator resection procedure of the left eyelid, MRD of the left eye was 1.0 mm at postoperative 3 months. This patient had Hering’s law dependence. Contralateral eyelid position was nearly unchanged.

Reference

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