Objective assessment of eyelid position and tear meniscus in facial nerve palsy
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1080/01676830.2021.1992789 http://hdl.handle.net/11449/230124 |
Resumo: | Purpose: To evaluate lower lid position and tear meniscus in peripheral idiopathic facial nerve palsy (FNP). Methods: A prospective study enrolled patients with peripheral idiopathic FNP and epiphora. Data were collected on patient demographics, House-Brackmann (HB) scale, digital photographs of the face, and tear meniscus at the 1st, 30, and 90 day after onset of FNP. Marginal reflex distance to the upper (MRD1) and lower eyelid (MRD2) were evaluated using ImageJ software. Anterior segment optical coherence tomography (OCT) was performed to measure the tear menis- cus. P<.05 was considered statistically significant. Results: Sixteen patients were evaluated. The HB scale at presentation was grade III in six patients (37.5%). At 90 day, nine patients (56.25%) were grade I-normal. Three (18.7%) had upper lid retraction, three (18.7%) upper eyelid asymmetry and 7 (43.75%), lower eyelid retraction. The difference between MRD2-FNP with MRD2-healthy side was 0.51 ± 1.9 mm at the 1st visit, decreasing to 0.09 ± 1.47 mm at 90 days (P=.877). Tear meniscus measurements were significantly higher in FNP at the 1st visit (P=.001). The decrease in MRD2 was statistically correlated with the reduction of the tear meniscus area (TMA) (r = 0.67; P=.007) at 90 days. No correlation was found between HB and TMA. There is a difference in TMA between age groups at the 1st day(p=.009). Eldest group had higher HB scales. Conclusion: Quantitative evaluation of eyelid position and tear meniscus are effective to document the evolution of FNP and can serve as a clue of orbicularis recovery. |
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Repositório Institucional da UNESP |
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spelling |
Objective assessment of eyelid position and tear meniscus in facial nerve palsyEyelid positionfacial nerve palsyobjective measurementoptical coherence tomographytear meniscusPurpose: To evaluate lower lid position and tear meniscus in peripheral idiopathic facial nerve palsy (FNP). Methods: A prospective study enrolled patients with peripheral idiopathic FNP and epiphora. Data were collected on patient demographics, House-Brackmann (HB) scale, digital photographs of the face, and tear meniscus at the 1st, 30, and 90 day after onset of FNP. Marginal reflex distance to the upper (MRD1) and lower eyelid (MRD2) were evaluated using ImageJ software. Anterior segment optical coherence tomography (OCT) was performed to measure the tear menis- cus. P<.05 was considered statistically significant. Results: Sixteen patients were evaluated. The HB scale at presentation was grade III in six patients (37.5%). At 90 day, nine patients (56.25%) were grade I-normal. Three (18.7%) had upper lid retraction, three (18.7%) upper eyelid asymmetry and 7 (43.75%), lower eyelid retraction. The difference between MRD2-FNP with MRD2-healthy side was 0.51 ± 1.9 mm at the 1st visit, decreasing to 0.09 ± 1.47 mm at 90 days (P=.877). Tear meniscus measurements were significantly higher in FNP at the 1st visit (P=.001). The decrease in MRD2 was statistically correlated with the reduction of the tear meniscus area (TMA) (r = 0.67; P=.007) at 90 days. No correlation was found between HB and TMA. There is a difference in TMA between age groups at the 1st day(p=.009). Eldest group had higher HB scales. Conclusion: Quantitative evaluation of eyelid position and tear meniscus are effective to document the evolution of FNP and can serve as a clue of orbicularis recovery.Department of Ophthalmology Rio Hortega University HospitalDepartment of Ophthalmology Medical School State University of São Paulo UNESP – University CampusDepartment of Ophthalmology Medical School State University of São Paulo UNESP – University CampusRio Hortega University HospitalUniversidade Estadual Paulista (UNESP)Galindo-Ferreiro, AliciaMarqués-Fernández, VictoriaSanchez-Tocino, HortensiaSchellini, Silvana A. [UNESP]2022-04-29T08:38:03Z2022-04-29T08:38:03Z2021-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://dx.doi.org/10.1080/01676830.2021.1992789Orbit (London).1744-51080167-6830http://hdl.handle.net/11449/23012410.1080/01676830.2021.19927892-s2.0-85121874930Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengOrbit (London)info:eu-repo/semantics/openAccess2024-08-16T18:43:30Zoai:repositorio.unesp.br:11449/230124Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-16T18:43:30Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Objective assessment of eyelid position and tear meniscus in facial nerve palsy |
title |
Objective assessment of eyelid position and tear meniscus in facial nerve palsy |
spellingShingle |
Objective assessment of eyelid position and tear meniscus in facial nerve palsy Galindo-Ferreiro, Alicia Eyelid position facial nerve palsy objective measurement optical coherence tomography tear meniscus |
title_short |
Objective assessment of eyelid position and tear meniscus in facial nerve palsy |
title_full |
Objective assessment of eyelid position and tear meniscus in facial nerve palsy |
title_fullStr |
Objective assessment of eyelid position and tear meniscus in facial nerve palsy |
title_full_unstemmed |
Objective assessment of eyelid position and tear meniscus in facial nerve palsy |
title_sort |
Objective assessment of eyelid position and tear meniscus in facial nerve palsy |
author |
Galindo-Ferreiro, Alicia |
author_facet |
Galindo-Ferreiro, Alicia Marqués-Fernández, Victoria Sanchez-Tocino, Hortensia Schellini, Silvana A. [UNESP] |
author_role |
author |
author2 |
Marqués-Fernández, Victoria Sanchez-Tocino, Hortensia Schellini, Silvana A. [UNESP] |
author2_role |
author author author |
dc.contributor.none.fl_str_mv |
Rio Hortega University Hospital Universidade Estadual Paulista (UNESP) |
dc.contributor.author.fl_str_mv |
Galindo-Ferreiro, Alicia Marqués-Fernández, Victoria Sanchez-Tocino, Hortensia Schellini, Silvana A. [UNESP] |
dc.subject.por.fl_str_mv |
Eyelid position facial nerve palsy objective measurement optical coherence tomography tear meniscus |
topic |
Eyelid position facial nerve palsy objective measurement optical coherence tomography tear meniscus |
description |
Purpose: To evaluate lower lid position and tear meniscus in peripheral idiopathic facial nerve palsy (FNP). Methods: A prospective study enrolled patients with peripheral idiopathic FNP and epiphora. Data were collected on patient demographics, House-Brackmann (HB) scale, digital photographs of the face, and tear meniscus at the 1st, 30, and 90 day after onset of FNP. Marginal reflex distance to the upper (MRD1) and lower eyelid (MRD2) were evaluated using ImageJ software. Anterior segment optical coherence tomography (OCT) was performed to measure the tear menis- cus. P<.05 was considered statistically significant. Results: Sixteen patients were evaluated. The HB scale at presentation was grade III in six patients (37.5%). At 90 day, nine patients (56.25%) were grade I-normal. Three (18.7%) had upper lid retraction, three (18.7%) upper eyelid asymmetry and 7 (43.75%), lower eyelid retraction. The difference between MRD2-FNP with MRD2-healthy side was 0.51 ± 1.9 mm at the 1st visit, decreasing to 0.09 ± 1.47 mm at 90 days (P=.877). Tear meniscus measurements were significantly higher in FNP at the 1st visit (P=.001). The decrease in MRD2 was statistically correlated with the reduction of the tear meniscus area (TMA) (r = 0.67; P=.007) at 90 days. No correlation was found between HB and TMA. There is a difference in TMA between age groups at the 1st day(p=.009). Eldest group had higher HB scales. Conclusion: Quantitative evaluation of eyelid position and tear meniscus are effective to document the evolution of FNP and can serve as a clue of orbicularis recovery. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-01-01 2022-04-29T08:38:03Z 2022-04-29T08:38:03Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1080/01676830.2021.1992789 Orbit (London). 1744-5108 0167-6830 http://hdl.handle.net/11449/230124 10.1080/01676830.2021.1992789 2-s2.0-85121874930 |
url |
http://dx.doi.org/10.1080/01676830.2021.1992789 http://hdl.handle.net/11449/230124 |
identifier_str_mv |
Orbit (London). 1744-5108 0167-6830 10.1080/01676830.2021.1992789 2-s2.0-85121874930 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Orbit (London) |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
_version_ |
1808128102225674240 |