Modified Lundie Loops Improve Apraxia of Eyelid Opening

Ramasamy, Balasubramanian; Rowe, Fiona; Freeman, G; Owen, Manon; Noonan, Carmel

doi:10.1097/wno.0b013e3180334f0b

Cited by 11 publications

(6 citation statements)

References 9 publications

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“…Conservative measures include wearing goggles (136) or eyelid crutches (137); these serve to mechanically elevate the upper eyelid but likely also act as a geste antagoniste . Levodopa may improve AEO when it is isolated (138) or associated with PD (139, 140) but appears to worsen it when associated with PSP.…”

Section: Apraxia Of Eyelid Opening and Closurementioning

confidence: 99%

Eyelid Dysfunction in Neurodegenerative, Neurogenetic, and Neurometabolic Disease

Hamedani

Gold

2017

Front. Neurol.

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Eye movement abnormalities are among the earliest clinical manifestations of inherited and acquired neurodegenerative diseases and play an integral role in their diagnosis. Eyelid movement is neuroanatomically linked to eye movement, and thus eyelid dysfunction can also be a distinguishing feature of neurodegenerative disease and complements eye movement abnormalities in helping us to understand their pathophysiology. In this review, we summarize the various eyelid abnormalities that can occur in neurodegenerative, neurogenetic, and neurometabolic diseases. We discuss eyelid disorders, such as ptosis, eyelid retraction, abnormal spontaneous and reflexive blinking, blepharospasm, and eyelid apraxia in the context of the neuroanatomic pathways that are affected. We also review the literature regarding the prevalence of eyelid abnormalities in different neurologic diseases as well as treatment strategies (Table 1).

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Section: Apraxia Of Eyelid Opening and Closurementioning

confidence: 99%

Eyelid Dysfunction in Neurodegenerative, Neurogenetic, and Neurometabolic Disease

Hamedani

Gold

2017

Front. Neurol.

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“…5 Using glasses fitted with wire loops to press against the brow (Lundie loops) or to lift the upper eyelid (eyelid crutch) may help. 6 Such loops may also function by a sensory trick mechanism.…”

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confidence: 99%

Update on blepharospasm

Hallett¹,

Evinger²,

Jankovic³

et al. 2008

Neurology

164

119

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This review updates understanding and research on blepharospasm, a subtype of focal dystonia. Topics covered include clinical aspects, pathology, pathophysiology, animal models, dry eye, photophobia, epidemiology, genetics, and treatment. Blepharospasm should be differentiated from apraxia of eyelid opening. New insights into pathology and pathophysiology are derived from different types of imaging, including magnetic resonance studies. Physiologic studies indicate increased plasticity and trigeminal sensitization. While botulinum neurotoxin injections are the mainstay of therapy, other therapies are on the horizon.

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“…Recently, sensory trick spectacle frames have been described as a medical device to aid blepharospasm patients [35,36]. These frames are thought to ameliorate symptoms by providing pressure to the brow as a negative feedback mechanism.…”

Section: Treatmentmentioning

confidence: 99%

“…In patients with poor response to botulinum toxin, improved quality of life after upper eyelid myectomy has been described [45]. Lastly, spectacles with wire loops affixed behind them to apply brow pressure (Lundie loops) can serve as a stimulus to keep the eyelids elevated, helping some patients [36].…”

Section: Treatmentmentioning

confidence: 99%

Blepharospasm and Hemifacial Spasm

Winges¹,

Yates²

2020

Albert and Jakobiec's Principles and Practice of Ophthalmology

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Blepharospasm and hemifacial spasm are the main facial muscle hyperactivity disorders seen in the ophthalmology clinic. They are characterized by stereotyped patterns of involuntary muscle twitching and are associated with functional blindness from eye closure, embarrassing disfigurement, and diminished quality of life. Blepharospasm, apraxia of eyelid opening, facial myokymia, eyelid myokymia, and their related syndromes are

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Modified Lundie Loops Improve Apraxia of Eyelid Opening

Abstract: 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.

Cited by 11 publications

References 9 publications

Eyelid Dysfunction in Neurodegenerative, Neurogenetic, and Neurometabolic Disease

Eyelid Dysfunction in Neurodegenerative, Neurogenetic, and Neurometabolic Disease

Update on blepharospasm

Blepharospasm and Hemifacial Spasm

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