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Lid lag on downgaze

MedGen UID:
115966
Concept ID:
C0234664
Sign or Symptom
Synonym: Lid lag
SNOMED CT: Lid lag (89893000)
 
HPO: HP:0025605

Definition

Delayed descent of the upper eyelid on downgaze. Also described by some authors as von Graefe sign. [from HPO]

Term Hierarchy

Conditions with this feature

Congenital myotonia, autosomal recessive form
MedGen UID:
155852
Concept ID:
C0751360
Disease or Syndrome
Myotonia congenita is characterized by muscle stiffness present from childhood; all striated muscle groups including the extrinsic eye muscles, facial muscles, and tongue may be involved. Stiffness is relieved by repeated contractions of the muscle (the "warm-up" phenomenon). Muscles are usually hypertrophic. Whereas autosomal recessive (AR) myotonia congenita is often associated with more severe manifestations (such as progressive minor distal weakness and attacks of transient weakness brought on by movement after rest), autosomal dominant (AD) myotonia congenita is not. The age of onset varies: in AD myotonia congenita onset is usually in infancy or early childhood; in AR myotonia congenita the average age of onset is slightly older. In both AR and AD myotonia congenita onset may be as late as the third or fourth decade of life.
Congenital myotonia, autosomal dominant form
MedGen UID:
422446
Concept ID:
C2936781
Disease or Syndrome
Myotonia congenita is characterized by muscle stiffness present from childhood; all striated muscle groups including the extrinsic eye muscles, facial muscles, and tongue may be involved. Stiffness is relieved by repeated contractions of the muscle (the "warm-up" phenomenon). Muscles are usually hypertrophic. Whereas autosomal recessive (AR) myotonia congenita is often associated with more severe manifestations (such as progressive minor distal weakness and attacks of transient weakness brought on by movement after rest), autosomal dominant (AD) myotonia congenita is not. The age of onset varies: in AD myotonia congenita onset is usually in infancy or early childhood; in AR myotonia congenita the average age of onset is slightly older. In both AR and AD myotonia congenita onset may be as late as the third or fourth decade of life.

Recent clinical studies

Etiology

Tan P, Wong J, Siah WF, Malhotra R
Eye (Lond) 2018 Feb;32(2):338-344. Epub 2017 Sep 1 doi: 10.1038/eye.2017.174. PMID: 28862257Free PMC Article
Chong KK, Fan DS, Lai CH, Rao SK, Lam PT, Lam DS
Eye (Lond) 2010 Jan;24(1):44-9. Epub 2009 Mar 20 doi: 10.1038/eye.2009.48. PMID: 19300466
Gaddipati RV, Meyer DR
Ophthalmology 2008 Jun;115(6):1083-8. Epub 2007 Sep 27 doi: 10.1016/j.ophtha.2007.07.027. PMID: 17900690
Atabay K, Atabay C, Erk Y
Ann Plast Surg 1994 Mar;32(3):276-82; discussion 282-3. doi: 10.1097/00000637-199403000-00009. PMID: 8192388

Diagnosis

Gaddipati RV, Meyer DR
Ophthalmology 2008 Jun;115(6):1083-8. Epub 2007 Sep 27 doi: 10.1016/j.ophtha.2007.07.027. PMID: 17900690
Mauriello JA Jr, Palydowycz SB
Ophthalmic Surg 1993 Oct;24(10):694-7. PMID: 8259250
Rice CD, Gray LD
Ophthalmic Plast Reconstr Surg 1988;4(3):167-70. doi: 10.1097/00002341-198804030-00009. PMID: 3154738
Harvey JT, Anderson RL
Ophthalmic Surg 1981 May;12(5):338-40. PMID: 7266976

Therapy

Mauriello JA Jr, Palydowycz SB
Ophthalmic Surg 1993 Oct;24(10):694-7. PMID: 8259250
Rice CD, Gray LD
Ophthalmic Plast Reconstr Surg 1988;4(3):167-70. doi: 10.1097/00002341-198804030-00009. PMID: 3154738

Prognosis

Chong KK, Fan DS, Lai CH, Rao SK, Lam PT, Lam DS
Eye (Lond) 2010 Jan;24(1):44-9. Epub 2009 Mar 20 doi: 10.1038/eye.2009.48. PMID: 19300466
Atabay K, Atabay C, Erk Y
Ann Plast Surg 1994 Mar;32(3):276-82; discussion 282-3. doi: 10.1097/00000637-199403000-00009. PMID: 8192388

Clinical prediction guides

Chong KK, Fan DS, Lai CH, Rao SK, Lam PT, Lam DS
Eye (Lond) 2010 Jan;24(1):44-9. Epub 2009 Mar 20 doi: 10.1038/eye.2009.48. PMID: 19300466
Gaddipati RV, Meyer DR
Ophthalmology 2008 Jun;115(6):1083-8. Epub 2007 Sep 27 doi: 10.1016/j.ophtha.2007.07.027. PMID: 17900690

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