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Article
October 1996

Unilateral Eyelid Retraction Induced by a Change From Supine to Sitting Position

Author Affiliations

Seoul, Korea

Arch Ophthalmol. 1996;114(10):1287. doi:10.1001/archopht.1996.01100140487030

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Abstract

Levator contraction with contraction of the external pterygoid muscle is the most common form of trigemino-oculomotor synkinesis originally described by Gunn.1 Since Gunn's report, other investigators have observed stimuli other than movement of the pterygoids that produce eyelid retraction. We observed unilateral eyelid retraction induced by a change from supine to a sitting position in a young child.

Report of a Case.  A 33-month-old girl was seen with lower eyelid cilia touching the cornea. In addition to this problem, her mother noted that the left eyelid retracted when the child would attempt to sit up. The eyelid elevation was first noticed at the age of 6 months, and the condition remained unchanged since then. The patient was born after an uneventful pregnancy and delivery. Her family history was noncontributory.On examination, she fixed and followed well with each eye. She was orthophoric in all directions of gaze and the

References
1.
Gunn RM.  Congenital ptosis with peculiar associated movement of the affected lid . Trans Ophthalmol Soc U K . 1883;3:283-287.
2.
Kirkham TH.  Paradoxical elevation of eyelid on smiling . Am J Ophthalmol . 1971;72:207-208.
3.
Parry R.  An unusual case of the Marcus Gunn syndrome . Trans Ophthalmol Soc U K . 1957;77:181-185.
4.
Bradley WG, Toone BK.  Synkinetic movements of the eyelid: a case with some unusual mechanisms of paradoxical lid retraction . J Neurol Neurosurg Psychiatry . 1967;30:578.Article
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