Ptosis: Upper eyelid droop Flashcards
What are the three conditions that can cause ptosis?
- Bell’s response
- Lagophthalmos
- Levator function
We use the __________ test to see if the patient’s muller’s muscles is working properly in ptosis patient.
Phenylephrine
What is the normal length measurement for levator function?
13-17mm
T/F Brow wrinkling is common with congenital ptosis.
True
Does Age-related dermatochalasis runs in the family?
Yes, it has familial tendency
What is the neurogenic problem if you see someone with a ptosis in one eye with that same eye pointing outwards?
It’s a nerve 3 palsy affecting the levator’s palpebral muslcles and the medial rectus muscle
Caused by tumor called Meningioma
T/F Irritated eye is associated with lagophthalmos but poor sleep is not.
False, they both are
Bell’s palsy is affect the CN ____.
7
What are some signs of Bell’s palsy?
- smooth forehead
- can’t close eyelid
- drooping of the mouth corner
T/F Acquire lagophthalmos is caused by CN 7. Also see in Bell’s palsy patients.
True
The two treatment plans for lagophthalmos can be _______ and ________.
- Tarsorrhaphy (sew eyelids closer)
2. Gold eyelid weight
Who are your typical patients with floppy eyelid syndrome?
Patients that are obese with short, thick neck and sleep apnea syndrome.
Is glaucoma a concern with patients with floppy eyelid syndrome?
Yes
What are the assessment/plan for floppy eyelid patients?
- PCP to rule out sleep apnea
- give topical antibiotic ointment (erythromycin, bacitracin)
- eyelid taping or shield
- oculoplastics for eyelid tightening procedures
T/F You need to get an MRI with myokymia patients.
True
