|
مقاله
|
Abstract
|
|
|
|
Title:
|
Comparison of effect of phenylephrine eye drop in normal and ptotic eyelids parameters
|
|
Author(s):
|
Hossein Salour, Keivan Khosravifard, Hashim Al-agheedee, Mehdi Tavakoli
|
|
Presentation Type:
|
Oral
|
|
Subject:
|
Ophthalmic Plastic and Reconstructive Surgery
|
|
Others:
|
|
|
Presenting Author:
|
|
|
Name:
|
Keivan Khosravifard
|
|
Affiliation :(optional)
|
Ophthalmic Research Center, Shahid Beheshti University of Medical Sciences
|
|
E mail:
|
khosravi_keivan@yahoo.com
|
|
Phone:
|
22957309
|
|
Mobile:
|
09121998066
|
|
|
|
|
Purpose:
|
To evaluate and compare of effect of topical 5% phenylephrine drop in normal versus ptotic eyelids elevation.
|
|
Methods:
|
64 patients with unilateral ptosis and normal fellow eyelid, enrolled in the study. Marginal reflex distance (MRD) and palpebral fissure height (PFH) were measured in all eyes before and 5 minutes after instillation of 5% phenylephrine drop in each eye and data was compared.
|
|
Results:
|
The mean age of patients was 23.13±4.83 and 52 (81.3%) patients were male. The mean MRD1 and PFH in ptotic eyes before drop instillation were 0.61±1.17 mm and 7.83±1.28mm respectively, that increased to2.39±1.45 and 3.93±1.35 respectively following drop instillation (p<0.001). The results of MRD1 and PFH were 3.04±0.68 and 10.25±0.92 respectively before and 3.93±1.25 and 11.39±0.91 after drop instillation in non-ptotic eyes (p<0.001). There was significant difference in MRD1 (p=0.002), but not in PHF between two groups before and after drop instillation. (p=0.006)
|
|
Conclusion:
|
These results may indicate that the Muller's muscle, which believed the responsible for 2mm lid elevation, is physiologically or biomechanically dysfunctional in ptotic eyes. This may affect our surgical options for correction of eyelid ptosis.
|
|
Attachment:
|
|
|