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Eyelid Reconstruction

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Useful guide to the workup of ptosis<br />

1. Obtain the patient’s history<br />

2. Perform a careful gross eyes examination<br />

3. Measure the supratarsal fold and symmetry<br />

4. Evaluate the lid contour<br />

5. Measure the ptosis (in millimeters)<br />

6. Measure the difference between the two<br />

eyelids (width of the palpebral fissure)<br />

Useful guide to the workup of ptosis<br />

7. Measure levator function<br />

(lid excursion with the brow static)<br />

8. Check the visual acuity of each eye<br />

9. Check the extra-ocular muscle movements<br />

10. Check for Bell’s phenomenon<br />

11. Check for jaw-winking motion<br />

12. Check for lagophthalmos and lid lag<br />

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