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Book

Lower Eyelid Laxity Examination

Amir Labib  1 , Bhupendra C. Patel  2 , Catherine Milroy  3
In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan.
.
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Book

Lower Eyelid Laxity Examination

Amir Labib et al.
Free Books & Documents

Excerpt

The anatomical and physiological integrity of the lower eyelid is important for both functional and aesthetic purposes. It helps in the protection of the cornea and maintenance of the lacrimal drainage system. Surgeons must understand the different techniques that can be used to assess lower eyelid position and laxity. This applies to assessment before cosmetic procedures, e.g., lower blepharoplasty or reconstructive procedure such as facial reanimation after facial nerve palsy. Accurate analysis and diagnosis of the site and the degree of lower eyelid laxity are paramount before any lower eyelid surgical procedure.

Conditions When Lower Eyelid Laxity Assessment Is Essential

  1. Before upper and lower blepharoplasty

  2. After a trauma to the lower eyelid and periorbital region

  3. When assessing skin cancer in the lower eyelid or lid-cheek junction or adnexal tumors

  4. Dry eye or epiphora

  5. Lagophthalmos

  6. Exposure keratopathy

  7. Thyroid orbitopathy

  8. Facial palsy

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Conflict of interest statement

Disclosure: Amir Labib declares no relevant financial relationships with ineligible companies.

Disclosure: Bhupendra Patel declares no relevant financial relationships with ineligible companies.

Disclosure: Catherine Milroy declares no relevant financial relationships with ineligible companies.

References

    1. Branham GH. Lower Eyelid Blepharoplasty. Facial Plast Surg Clin North Am. 2016 May;24(2):129-38. - PubMed
    1. Holds JB. Lower Eyelid Reconstruction. Facial Plast Surg Clin North Am. 2016 May;24(2):183-91. - PubMed
    1. Kakizaki H, Malhotra R, Madge SN, Selva D. Lower eyelid anatomy: an update. Ann Plast Surg. 2009 Sep;63(3):344-51. - PubMed
    1. Pereira MV, Glória AL. Lagophthalmos. Semin Ophthalmol. 2010 May;25(3):72-8. - PubMed
    1. Rouen PA, White ML. Dry Eye Disease: Prevalence, Assessment, and Management. Home Healthc Now. 2018 Mar/Apr;36(2):74-83. - PubMed

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