Yumori Eyelids 2

Question 1

Ptosis

Answer 1

lower position of upper eyelid

congenital or acuired

Question 2

Neurogenic Ptosis caused by?

Answer 2

3rd nerve palsy / Horner’s

Question 3

Myogenic caused by?

Answer 3

myopathy of levator muscle

occurs in myasthenia gravis, myotonic dystrophy & external opthalmoplegia

Question 4

aponeuronic ptosis caused by?

Answer 4

defect in levator aponeurosis

Question 5

mechanical ptosis/?

Answer 5

gravitational pull from mass or scarring

Question 6

Forms of pseudootosis?

Answer 6

lack of support
dermatochlalasis
brow ptosis
ipsilateral hypotropia
contralateral lid retraction

Question 7

what is the normal margin reflex distance?

Answer 7

4-5 mm

Question 8

normal palpebral fissure height?

Answer 8

2mm below upper limbus/ mm above lower limbus
Men seven to ten
women eight to twelve mm

Question 9

Signs associated with congenital ptosis?

Answer 9

weak or no eyelid crease
dystrophic levetor muscle
ptosis decreased in down gae
chin up position

Question 10

Signs with acuired ptosis?

Answer 10

crease higher
in down gae ptosis may be level or lower
use frontalis muscle to compensate
ptosis may get worse at different times. stress fatigue etc

Question 11

Normal Ranges?

Answer 11

MCD: 8; 0
MRD-one: 4-5.....4
Bells: Positive
Lag: Neg 
PF:7
LF: eleven

Question 12

Characteristics with ectropian?

Answer 12

epiphora
redness
irritation
outward turning of the lids