PMID: 15343116Sep 3, 2004Paper

Abnormal eyelid positions in Brown syndrome

Journal français d'ophtalmologie
J-L GeorgeK Angioi-Duprez

Abstract

To describe the possible abnormal upper eyelid positions in congenital Brown syndrome (BS) and discuss physiopathology. A typical symptom of BS, the incapacity to raise the eye in adduction, is usually accompanied by a retraction of the upper eyelid. However, as the abnormal position of the eye often refers to a patient looking straight ahead into the distance, abnormal eyelid positions are possible but are on the whole unknown. The study investigated 82 patients with unilateral congenital BS, who consulted between 1989 and 2001. The primary position of the upper eyelid concerned was carefully measured, each side separately. The patients were then classified into three groups according to the type of difficulty encountered when raising the upper eyelid: group 1--those with a raising deficiency in adduction (42 cases), group 2--those with a raising deficiency in adduction and in primary position (26 cases), group 3--those with a global raising deficiency with predominance in adduction (14 cases). Fifty patients were operated on for strabismus, after which the position of the upper eyelid was remeasured. An abnormal position of the upper eyelid was noted in 23 patients (28%) and the distribution between the different groups was a...Continue Reading

References

Mar 1, 1976·American Journal of Ophthalmology·J S Crawford
Nov 1, 1989·Survey of Ophthalmology·M E WilsonM M Parks
Sep 1, 1984·Ophthalmology·D Sevel

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