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Research Letters | Surgeon's Corner

Positional Change of Lower Eyelid After Surgical Correction of Congenital Ptosis in the Korean Population

Chang Yeom Kim, MD; Su Yan Zhao, MD; Cheng Zhe Wu, MD; Jin Sook Yoon, PhD; Sang Yeul Lee, MD
JAMA Ophthalmol. 2013;131(4):540-542. doi:10.1001/jamaophthalmol.2013.2825.
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SURGEON'S CORNER

We have found that some patients with congenital ptosis have preoperative lower scleral show that is diminished after ptosis surgery (Figure 1). This quantitative study investigates the positional change in the lower eyelid after surgery to correct congenital ptosis.

Figure 1. Clinical photographs of patients with congenital ptosis (A, C, E, and G). Lower eyelid elevation and disappearance of scleral show were noted after surgery (B, D, and F) and upper eyelid lift (H). The levels of the pupillary light reflex (a), medial canthus (b), and lower eyelid margin (c) are shown (G and H).

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Grahic Jump Location

Figure 1. Clinical photographs of patients with congenital ptosis (A, C, E, and G). Lower eyelid elevation and disappearance of scleral show were noted after surgery (B, D, and F) and upper eyelid lift (H). The levels of the pupillary light reflex (a), medial canthus (b), and lower eyelid margin (c) are shown (G and H).

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Grahic Jump Location

Figure 2. The line between the medial and lateral canthi (LML) and the maximal perpendicular distance from the LML to the margin of the lower eyelid (PDL) are noted. The preoperative lower scleral show in both eyes (A) disappeared postoperatively (B).

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