A Prospective Study of Blepharoptosis after Panretinal Photocoagulation Using Ophthalmoscopic Contact Lens.

Kim, Yu Jeong; Lim, Han Woong; Kang, Min Ho; Seong, Min Cheol; Cho, Hee Yoon

doi:2013.54.7.1006

J Korean Ophthalmol Soc > Volume 54(7); 2013 > Article

Original Article

Journal of the Korean Ophthalmological Society 2013;54(7):1006-1012.
DOI: https://doi.org/10.3341/jkos.2013.54.7.1006 Published online July 15, 2013.

A Prospective Study of Blepharoptosis after Panretinal Photocoagulation Using Ophthalmoscopic Contact Lens.

Yu Jeong Kim, Han Woong Lim, Min Ho Kang, Min Cheol Seong, Hee Yoon Cho

Department of Ophthalmology, Hanyang University Guri Hospital, Hanyang University College of Medicine, Guri, Korea. hycho@hanyang.ac.kr

접안렌즈를 이용한 범망막광응고술 후 발생한 눈꺼풀처짐에 대한 전향적 연구

김유정⋅임한웅⋅강민호⋅성민철⋅조희윤

Department of Ophthalmology, Hanyang University Guri Hospital, Hanyang University College of Medicine, Guri, Korea

Abstract

PURPOSE
To investigate the possibility of blepharoptosis as a complication after panretinal photocoagulation using ophthalmoscopic contact lens. METHODS: We prospectively evaluated patients who were diagnosed with diabetic retinopathy and scheduled to be treated with panretinal photocoagulation. Margin reflex distance 1 (MRD1), levator function, palpebral fissure height and width, and tarsal plate height were measured at the day of photocoagulation and 3 months after treatment. RESULTS: MRD1 was decreased in 8 eyes (25.8%), levator function was decreased in 5 eyes (16.1%), and palpebral fissure height was decreased in 6 eyes (19.4%). The decrement of MRD1 and palpebral fissure height after photocoagulation were significant (p = 0.008, p = 0.031, respectively). There was a significant negative correlation between MRD1 decrement and tarsal plate height (p = 0.045). CONCLUSIONS: We identified blepharoptosis after panretinal photocoagulation using contact ophthalmoscopic lens, which was related with low tarsal plate height.

Key Words: Blepharoptosis;Diabetic retinopathy;Ophthalmoscopic contact lens;Panretinal photocoagulation;Ptosis