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Assessment of physiological upper eyelid laxity
M Broussard1, N Leveziel2, M Lii1
1Department of ophthalmology, university hospital, 86000 Poitiers, France.
Upper eyelid laxity increases with age and is greater on the side of the face typically slept on. This study defines hyperlaxity thresholds based on age and sleep position.
Area of Science:
- Ophthalmology
- Gerontology
- Anatomy
Background:
- Eyelid laxity is a common concern with aging.
- Understanding factors influencing eyelid laxity is crucial for clinical assessment.
Purpose of the Study:
- To investigate the relationship between overall upper eyelid laxity, age, and preferred sleep position.
- To establish normative data for eyelid laxity across different age groups.
Main Methods:
- Prospective study of 280 healthy individuals aged 20-89.
- Eyelid laxity measured using the McNab technique.
- Data collected included age, sex, medical history, and preferred sleep position.
Main Results:
- Mean upper eyelid laxity increased from 5.35mm (20-29 years) to 8.28mm (80-89 years).
- Eyelid laxity was greater on the preferred sleep side (median 8mm) compared to the non-sleep side (median 7mm).
Conclusions:
- Upper eyelid laxity significantly increases with age and is influenced by sleep position.
- New age-specific criteria for upper eyelid hyperlaxity using the McNab technique were proposed.
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