Abstract:
OBJECTIVE:To compare the ice test with the rest test in subjects with myasthenic and nonmyasthenic ptosis. DESIGN:Randomized, noninterventional trial. PARTICIPANTS:(1) Ten subjects with ptosis from previously undiagnosed myasthenia gravis. (2) Fifteen subjects with nonmyasthenic ptosis. METHODS:Application of ice compared with rest. MAIN OUTCOME MEASURES:Improvement in eyelid elevation in millimeters after the application of a surgical glove filled with ice or cotton. RESULTS:In myasthenic subjects, the median improvement of ptosis with the rest test was 2 mm and with the ice test was 4.5 mm. The difference between the rest and ice tests is significant (P: < 0.001). There was no improvement in ptosis in nonmyasthenic subjects with either test. CONCLUSION:In myasthenic ptosis, improvement in eyelid elevation after the ice test is in part caused by rest. The ice test significantly improves ptosis more than rest alone does.
journal_name
Ophthalmologyjournal_title
Ophthalmologyauthors
Kubis KC,Danesh-Meyer HV,Savino PJ,Sergott RCdoi
10.1016/s0161-6420(00)00458-9subject
Has Abstractpub_date
2000-11-01 00:00:00pages
1995-8issue
11eissn
0161-6420issn
1549-4713pii
S0161-6420(00)00458-9journal_volume
107pub_type
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