Abstract:
PURPOSE:To assess the role of muscular degeneration, we evaluated the correlation between ptosis severity and levator muscle function. DESIGN:Retrospective cohort study. METHODS:The medical records of 136 patients (53 men and 83 women; mean age, 67 years) with acquired blepharoptosis were reviewed for levator function (LF), margin reflex distance (MRD), age, and gender. Multivariate linear regression was performed for statistical analysis. RESULTS:A significant correlation (P < .001) was seen between MRD (mean, 1.0 + 1.0 mm; range, -3.0 to 3.0 mm) and LF (mean, 15.0 + 1.0 mm; range, 11.0 to 20.0 mm). On average, a 0.5-mm reduction in LF was observed for each 1.0-mm decrease in MRD. This was independent to other variables assessed. CONCLUSIONS:In patients with involutional blepharoptosis, a directly proportional decrease in levator function and eyelid height was observed. This may implicate an abnormality of the levator muscle itself as a contributing factor in the development of involutional blepharoptosis.
journal_name
Am J Ophthalmoljournal_title
American journal of ophthalmologyauthors
Pereira LS,Hwang TN,Kersten RC,Ray K,McCulley TJdoi
10.1016/j.ajo.2008.02.002subject
Has Abstractpub_date
2008-06-01 00:00:00pages
1095-1098issue
6eissn
0002-9394issn
1879-1891pii
S0002-9394(08)00106-2journal_volume
145pub_type
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