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Measurements of oculo-palpebral landmarks and evaluation of patient’s head position

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Abstract

Purpose

Keeping the head in a neutral position is requisite for glasses/lenses/head-up designs, the suitability of oculo-plastic surgery and for the grading the eye shift. Anatomically incompatible glasses are one of the common problems affecting accommodation, reducing comfort and disturbing by causing symptoms such as dizziness and nausea. The oculo-palpebral measurements act as a key determinant in symmetrical facial attractiveness. This study aims to investigate the most effective oculo-palpebral landmarks, head-neutral as the ideal position, taking into account of individual anatomical differences of these patients.

Methods

100 females and 100 males aged between 18 and 20 years were photographed. Digital photogrammetric measurements were made with the ImageJ program. Interpupillary and interhelical distances, besides bilateral palpebral fissure length and height, and iris diameter were calculated on front-facing photographs.

Results

Mean interpupillary distance was measured wider in males than in females. The mean length of palpebral fissure was 31 mm; palpebral fissure height was 10 mm. These figures were valid in both eyes and gender. The interhelical distance was calculated as the mean and was measured longer in men. Since the measurement values were the same in both sexes and on both sides, they were determined as important landmarks for controlling the head-neutral position, evaluating whether there was a deviation in the eye, and measuring the numerical value when detected.

Conclusion

It is essential to check the side-symmetry of the patient’s palpebral fissure height, palpebral fissure length, diameter of iris and corneal depth during oculo-plastic invention and artificial design.

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Funding

The authors reported no funding was received for this work.

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Authors and Affiliations

  1. Department of Anatomy, Digital Imaging and 3D Modelling Laboratory, Faculty of Medicine, Ege University, Izmir, Turkey

    Suzan Sirinturk & Figen Govsa

  2. Department of Anatomy, Faculty of Medicine, Izmir Democracy University, Izmir, Turkey

    Istemihan Coban

  3. Department Plastic and Reconstructive Surgery, Faculty of Medicine, Ege University, Izmir, Turkey

    Ahmet Bicer

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  1. Suzan Sirinturk
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Contributions

F.G, S.S., and I.C.Conceptualization, ; SS. and I.C.; methodology, , S.S.; formal analysis , F.G, S.S., and I.C.investigation; , F.G, S.S., A.B. A.B. and I.C, writing-original draft preparation writing-review and editing, F.G, S.S., A.B. and I.C.; supervision, F.G, A.B. and S.S. All authors have read and agreed to the published version of the manuscript.

Corresponding author

Correspondence to Figen Govsa.

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Ethical approval

The study was conducted in accordance with the Declaration of Helsinki and approved by the Ege University Ethics Committee (16.05.2014: 659/311).

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The authors declare no competing interests.

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Sirinturk, S., Govsa, F., Coban, I. et al. Measurements of oculo-palpebral landmarks and evaluation of patient’s head position. Surg Radiol Anat (2024). https://doi.org/10.1007/s00276-024-03324-x

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