| Identifier |
Sagging_eye_Lee |
| Title |
Sagging Eye Syndrome |
| Creator |
Andrew G. Lee, MD; Jonathan Go |
| Affiliation |
(AGL) Chairman, Department of Ophthalmology, The Methodist Hospital, Houston, Texas; Professor of Ophthalmology, Weill Cornell Medicine, New York City, New York; (JG) Class of 2021, Baylor College of Medicine, Houston, Texas |
| Subject |
Neuroanatomy |
| Description |
Dr. Lee lectures medical students on sagging eye syndrome. |
| Transcript |
Today, we're going to be talking about the sagging eye syndrome, and as you get older, everything sags, including your eye. And what they mean by the "Sagging Eye Syndrome" is - the extraocular muscles, drawn diagrammatically here: superior rectus, medial rectus, lateral rectus, and inferior rectus. In between the muscles are intermuscular septum, and there's a band of connective tissue that is connecting the superior rectus and lateral rectus muscle. Over time, the elasticity of these connective tissues sag, just like your face sags and you might need a face lift, or there might be sagging of your skin and elastic tissue elsewhere in your body, it's just a normal aging process. That same kind of sag can occur here, and what will happen is the lateral rectus might sag down because the connective tissue band is losing its elasticity. And that will produce diplopia, because the diplopia doesn't really have a ductional deficit, doesn't follow any pattern of involvement of nerve or muscle - it's hard to diagnose this with the conventional tests that we're going to do in the eye clinic. Usually, they have a small angle deviation, and they can have a hypertropia or an esotropia, and the imaging study shows that the muscles displace downward, sagging the lateral rectus. And we usually use a coronal MRI scan to look at these muscles to see the sagging, but if you can make the diagnosis clinically of the sagging eye, the typical patient is an older patient, we're going to see deepening of the superior sulcus and the same features that we see in levator instance where the sagging is in the levator. So, the presence of an older patient with a deep superior sulcus and a small angle deviation with no ductional deficit - look at the MRI scan for the sag - if we see the sag, "Sagging Eye". This is will respond to surgery but you have to tell the strabismus surgeon about the sagging eye because they might modify the strabismus surgery based on whether it's the sagging eye or not, depending on your particular surgeon's interests. So, if you see sagging of the lateral rectus in an older patient, think about the "Sagging Eye". |
| Date |
2019-03 |
| Language |
eng |
| Format |
video/mp4 |
| Type |
Image/MovingImage |
| Collection |
Neuro-Ophthalmology Virtual Education Library: Andrew G. Lee Collection: https://novel.utah.edu/Lee/ |
| Publisher |
North American Neuro-Ophthalmology Society |
| Holding Institution |
Spencer S. Eccles Health Sciences Library, University of Utah |
| Rights Management |
Copyright 2019. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright |
| ARK |
ark:/87278/s6k97ms9 |
| Setname |
ehsl_novel_lee |
| ID |
1404094 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6k97ms9 |
