Not only hard contact lens wear but also soft contact lens wear may be associated with blepharoptosis

Bleyen, Isabel; Hiemstra, Coen A.; Devogelaere, Thibaut; Bosch, W A van den; Wubbels, René J.; Paridaens, Dion

doi:10.1016/j.jcjo.2011.06.010

Cited by 24 publications

(12 citation statements)

References 11 publications

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“…The recent marked increase in VDT exposure has also resulted in a marked increase in the number of DED patients. Furthermore, long-term CL use weakens the Muller’s muscle, which can lead to blink deficiency [9]. Therefore, more attention should be more attention should be given to blinking status, even in patients with no clinical findings for MGD (e.g., meibomian gland dropout, meibomian orifice obstructions).…”

Section: Discussionmentioning

confidence: 99%

Tear lipid layer deficiency associated with incomplete blinking: A case report

Kawashima

Tsubota

2013

BMC Ophthalmol

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BackgroundMeibomian gland obstruction induces hyposecretion of tear film lipids, which results in lipid layer deficiency and evaporative dry eye. Unfortunately, the importance of blinking in meibomian gland dysfunction has been largely overlooked, and it is not known whether incomplete blinking causes tear lipid deficiency, even in the unobstructed meibomian glands.Case presentationA 38-year-old woman suffering from foreign body sensations in her eyes was examined. The cornea was clear and tear secretion was normal. Lid margin abnormalities were not observed and the meibum was clear. However, the lipid layer was very thin, and the patient was given a diagnosis of incomplete blinking. The patient was made aware of her condition and asked to blink consciously and completely. After that, an immediate increase in lipid flow was observed.ConclusionTear lipid layer deficiency can occur with incomplete blinking, even though meibomian gland structures are intact. This case highlights the importance of complete blinking.

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Section: Discussionmentioning

confidence: 99%

Tear lipid layer deficiency associated with incomplete blinking: A case report

Kawashima

Tsubota

2013

BMC Ophthalmol

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“…Editor, P rolonged hard contact lens wear is known to be a risk factor of acquired, aponeurotic blepharoptosis (van den Bosch & Lemij 1992), while only a few studies suggest that there is a relation between soft contact lens wear and acquired blepharoptosis. Following our earlier report (Bleyen et al 2011), the purpose of this study is to acquire further evidence to support the hypothesis that the use of soft contact lens may cause aponeurotic blepharoptosis.…”

mentioning

confidence: 82%

Soft contact lens induced blepharoptosis

Verhoekx

Muizebelt

Wubbels

et al. 2018

Acta Ophthalmologica

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“…A systematic review has suggested that there is an increased risk of ptosis in rigid corneal (OR 17.4x) and soft contact (OR 8.1x) lens wearers compared to non-wearers [42]. Previous studies have highlighted the association of prolonged rigid corneal lens wear with acquired ptosis [43][44][45][46][47][48][49][50]. Although the exact mechanism remains unknown, most authors agree that excessive physical manipulation of the eyelids during insertion and removal of rigid corneal lenses may be responsible for inducing damage to the levator aponeurosis [43,46,48,51].…”

Section: Ptosismentioning

confidence: 99%