Inferior displacement of the lower eyelid during intraoperative quantification in blepharoptosis surgery

• Main Authors: Hirohiko Kakizaki, Yasuhiro Takahashi, Masahiro Zako, et al
• Format: Article
• Language: English
• Published: Dove Medical Press 2011-02-01
• Series: Clinical Ophthalmology
• Online Access: http://www.dovepress.com/inferior-displacement-of-the-lower-eyelid-during-intraoperative-quanti-a6301
• ISSN: 1177-5467; 1177-5483

Hirohiko Kakizaki, Yasuhiro Takahashi, Masahiro Zako, Masayoshi IwakiDepartment of Ophthalmology, Aichi Medical University, Nagakute, Aichi, JapanPurpose: To examine inferior displacement of the lower eyelid during eye closing in intraoperative quantification of blepharoptosis surgery.Methods: A series of lower eyelid movements during eye closing in intraoperative quantification of blepharoptosis surgery were examined in 30 eyelids of 15 patients (6 males and 9 females; mean age 70.0 years; range 43–81 years) with bilateral aponeurotic blepharoptosis.Results: Inferior displacement of the lower eyelid was observed in all eyelids examined, although the extent varied in each patient (range 2.0–4.5 mm; mean 3.2 mm). Inferior displacement occurred with upward eye movement caused by Bell's phenomenon. Many wrinkles were simultaneously observed as a result of contraction of the orbicularis oculi muscle. After maintaining the inferiorly displaced state for several seconds, 20 lower eyelids in 10 patients naturally moved superiorly to a resting position. On the other hand, 10 lower eyelids in 5 patients remained in the same inferior position for more than 5 seconds, after which we had to manually elevate them to a resting position. The eyes then moved inferiorly to their resting position with a decrease in the number of lower eyelid wrinkles. Once the patients opened their eyes, inferior displacement of the lower eyelid completely disappeared.Conclusions: Inferior displacement of the lower eyelid during eye closing increases the amount of lagophthalmos. This phenomenon needs to be considered for quantifying the intraoperative lagophthalmos level during blepharoptosis surgery.Keywords: blepharoptosis surgery, eye closing, inferior displacement, intraoperative quantification, lower eyelid