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Functional eyelid pulling in children.

R A Catalano1, M G Trevisani, J W Simon

  • 1Department of Ophthalmology, Albany Medical College, New York 12208.

American Journal of Ophthalmology
|September 15, 1990
PubMed
Summary
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Pediatric eyelid pulling in children often resolves with simple reassurance. This behavioral symptom, common in young patients, typically does not indicate underlying ocular disease and rarely recurs.

Area of Science:

  • Ophthalmology
  • Pediatric Behavioral Health
  • Oculoplastics

Background:

  • Intermittent eyelid pulling is a behavioral symptom observed in pediatric patients.
  • Previous literature lacks comprehensive data on the etiology and management of this specific behavior.
  • Understanding the underlying causes and effective interventions is crucial for pediatricians and ophthalmologists.

Purpose of the Study:

  • To investigate the clinical presentation and outcomes of children referred for eyelid pulling.
  • To evaluate the efficacy of reassurance as a primary treatment modality.
  • To identify potential triggers and long-term prognosis of this pediatric ocular behavior.

Main Methods:

  • Retrospective case series of five children (3.5–9.5 years old) evaluated for intermittent eyelid pulling.

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  • Clinical history, duration of symptoms, and parental/child reports were documented.
  • Treatment consisted of reassurance alone, with follow-up ranging from six to 15 months.

    • Main Results:

    • All five children experienced complete resolution of eyelid pulling within two weeks of reassurance.
    • No child exhibited signs of acute ocular disorders or systemic disease.
    • Recurrence was noted in only one patient; no new symptoms developed during follow-up.

    Conclusions:

    • Eyelid pulling in children is often a benign behavioral issue that responds well to simple reassurance.
    • The behavior may be linked to attention-seeking, perceived eye irritation, or a desire to 'look funny'.
    • This condition typically has a favorable prognosis with no significant long-term ocular or systemic sequelae.