Isolated unilateral neurogenic blepharoptosis secondary to eyelid trauma

Timothy J McCulley, Robert C. Kersten, Chee Chew Yip, Dwight R. Kulwin

Research output: Contribution to journalArticle

Abstract

PURPOSE: To describe eyelid trauma as a cause of isolated neurogenic blepharoptosis. DESIGN: Observational case series. METHODS: Three previously healthy patients (two male and one female; aged 29 to 39 years) were evaluated for unilateral blepharoptosis following forceful anterior displacement of the upper eyelid. Two injuries occurred during domestic altercations and one while the patient was playing basketball RESULTS: All three patients had complete unilateral upper eyelid ptosis with no levator palpebrae superioris function, consistent with loss of innervation. Additional findings included minimal eyelid ecchymosis, eyelid edema, and subconjunctival hemorrhage in two cases. The remainder of the examinations was unremarkable with full ocular motility and no anisocoria. Without treatment, within 2 weeks, all three patients recovered completely with normal symmetric lid height and levator function. CONCLUSIONS: Isolated neurogenic blepharoptosis may result from traumatic anterior upper eyelid displacement. Resolution is likely within 2 weeks.

Original languageEnglish (US)
Pages (from-to)626-627
Number of pages2
JournalAmerican Journal of Ophthalmology
Volume134
Issue number4
DOIs
StatePublished - Oct 1 2002
Externally publishedYes

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Blepharoptosis
Eyelids
Wounds and Injuries
Oculomotor Muscles
Anisocoria
Ecchymosis
Basketball
Edema
Hemorrhage

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Isolated unilateral neurogenic blepharoptosis secondary to eyelid trauma. / McCulley, Timothy J; Kersten, Robert C.; Yip, Chee Chew; Kulwin, Dwight R.

In: American Journal of Ophthalmology, Vol. 134, No. 4, 01.10.2002, p. 626-627.

Research output: Contribution to journalArticle

McCulley, Timothy J ; Kersten, Robert C. ; Yip, Chee Chew ; Kulwin, Dwight R. / Isolated unilateral neurogenic blepharoptosis secondary to eyelid trauma. In: American Journal of Ophthalmology. 2002 ; Vol. 134, No. 4. pp. 626-627.
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