Retração palpebral em infra-dextro-versão: relato de caso

Retração palpebral em infra-dextro-versão: relato de caso


Silvana Artioli Schellini,
Margareth Tiemi Furuya,
Felipe Jorge Heimbeck,
Maria Rosa Bet de Moraes Silva


Arquivos Brasileiros de Oftalmologia

versão impressa ISSN 0004-2749versão On-line ISSN 1678-2925

Arq. Bras. Oftalmol. vol.62 no.2 São Paulo abr. 1999


We present a 31/2 year-old ortophoric patient, with normal function of the elevator muscle and with upper right eyelid retraction on right down gaze when lying down. The eyelid retraction is not released by any other maneuver. The possible causes for the eyelid retraction are discussed.

Keywords: Eyelid retraction; Position of eyelid


1 Bartley GB. The differential diagnosis and classification of eyelid retraction Ophthalmology 1996;103:168-76.
2 Bradley, WG, Toone BK. Synkinetic movements of the eyelid: a case with some unnusual mechanism of paradoxical lid retraction. J Neurol Neurosurg Psychiatry 1967;30:578.
3 Evinger C, Manning KA, Sibony PA. Eyelid moviments. Invest Ophthalmol Vis Sei 1991;32:387-400.
4 Glaser JS. Neuro-ophthalmic examination. In: Tasman W, Jaeger EA eds. Duane's Clinical Ophthalmology. Philadelphia: Harper & Row, 1997; v.2; cap. 3.
5 Guimarães FC, Cruz AAV. Palpebral fissure height and downgaze in patients with Graves upper eyelid retraction and congenital blepharoptosis. Ophthalmology 1995;102:1218-22.
6 Gunn RM. Congenital ptosis with peculiar associated movement of the affected lid. Trans Ophthalmol Soc uk 1883;3:283-7.
7 Hwang JM, Yi KY, Kang G. Unilateral eyelid retraction induced by a change from supine to sitting position. Arch Ophthalmol 1996;114:1287.
8 Kirkham TH. Paradoxical elevation of eyelid on smiling. Am J Ophthalmol 1971;72:207-8.
9 Parry R. An unusual case of the Marcus Gunn syndrome. Trans Ophthalmol Soc Uk 1957;77:181-5.
10 Salvi M, Scalise D, Stolarski C, Arthurs B, Lindley S, Kennerdel J, Wall JR. Upper eyelid retraction in the absence of other evidence for progressive ophthalmopathy is associated with eye muscle autoantibodies. Clin Immunol Immunopath 1995;74:44-50.
11 Sibony PA, Evinger C, Manning KA. Eyelid moviments in facial paralysis. Arch Ophthalmol 1991;102:1218-22.