Ramasamy Balasubramanian, Rowe Fiona, Freeman Graham, Owen Manon, Noonan Carmel
North Cheshire Hospitals, National Health Service Trust, Warrington, UK.
J Neuroophthalmol. 2007 Mar;27(1):32-5. doi: 10.1097/WNO.0b013e3180334f0b.
Current treatments are unsatisfactory for improving apraxia of eyelid opening, defined as a delay or inability to open closed eyelids voluntarily in the presence of intact motor pathways.
Improvement in functional health was assessed using the Blepharospasm Disability Scale (BDS) in five consecutive patients with apraxia of eyelid opening treated with wire loops affixed behind ordinary spectacles (Lundie loops) and modified to provide pressure on the brow as a stimulus to keep the eyelids elevated.
All five patients showed improvement in BDS scores. The mean percentage of normal activity of the study population improved from 25% to 37.6%. Outdoor activities were not significantly altered with the use of the device.
Modified Lundie loops appear to be helpful in improving the functional health of patients with eyelid apraxia. These results will need to be verified in larger trials.
目前的治疗方法在改善眼睑开合失用方面并不令人满意，眼睑开合失用被定义为在运动通路完整的情况下，延迟或无法自主睁开闭合的眼睑。
使用眼睑痉挛残疾量表（BDS）评估了连续5例眼睑开合失用患者的功能健康改善情况，这些患者接受了固定在普通眼镜后面的金属丝环（伦迪环）治疗，并进行了改良，以对眉毛施加压力，作为保持眼睑抬高的刺激。
所有5例患者的BDS评分均有改善。研究人群正常活动的平均百分比从25%提高到了37.6%。使用该装置后，户外活动没有明显改变。
改良的伦迪环似乎有助于改善眼睑失用患者的功能健康。这些结果需要在更大规模的试验中得到验证。
