Objective assessment of eyelid position and tear meniscus in facial nerve palsy

Detalhes bibliográficos
Autor(a) principal: Galindo-Ferreiro, Alicia
Data de Publicação: 2021
Outros Autores: Marqués-Fernández, Victoria, Sanchez-Tocino, Hortensia, Schellini, Silvana A. [UNESP]
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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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
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