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 dis-tance 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 ex-ercise for 2 weeks. Additional exercise did not affect MRD1.
References
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7. Putnam JR, Nunery WR, Tanenbaum M, McCord CD. Blepharoptosis. In: MacCord CD, Tanenbaum M, Nunery WR, eds. Oculoplastic Surgery, 3rd ed. New York: Lippincott Williams & Wilkins,. 1995; 175–220.
8. Fox SA. Surgery of Ptosis (Blepharoptosis), 1st ed. New York: Grune and Stratton,. 1968; 91–111.
9. Lee YJ. Principles of ophthalmic plastic and reconstructive surgery. Kim YD, Lee SY, Kim SJ, editors. . Ophthalmic Plastic and Reconstructive Surgery. 2nd. Seoul: Naewaehs;2009. v. 1. chap. 2.
Figure 2.
Photographs of patient 1 (1A-1C), 2 (2A-2C), 3 (3A-3C) and 4 (4A-4C). (1A, 2A, 3A, 4A) Before the operation of levator resection. (1B, 2B, 3B, 4B) One week after the operation. (1C, 2C, 3C, 4C) Final postoperative appearance after eyelid stretching exercise for two or three weeks.
![jkos-56-1635f2.tif](/upload/SynapseXML/0035jkos/thumb/jkos-56-1635f2.gif)
Figure 3.
Photographs of patient 5 (1A-1C), 6 (2A-2C), 7 (3A-3C) and 8 (4A-4C). (1A, 2A, 3A, 4A) Before the operation of levator resection. (1B, 2B, 3B, 4B) One week after the operation. (1C, 2C, 3C, 4C) Final postoperative appearance after eyelid stretching exercise for two or three weeks.
![jkos-56-1635f3.tif](/upload/SynapseXML/0035jkos/thumb/jkos-56-1635f3.gif)
Table 1.
Summary of cases