Corpus: Palpebral fissure

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Synonym: Rima palpebrarum
English:

Definition[Bearbeiten]

The palpebral fissure is the cleft space enclosed by the upper and lower eyelid through which the eye is visible.

Physiology[Bearbeiten]

The width of the palpebral fissure determines the amount of light entering the eye and is determined by various muscles. These include:

  • Musculus tarsalis superior
  • Musculus tarsalis inferior
  • Musculus levator palpebrae superioris
  • Musculus orbicularis oculi

Pathology[Bearbeiten]

Various diseases can lead to a pathological narrowing or widening of the palpebral fissure, e.g:

  • Narrowing of the palpebral fissure
    • Blepharospasm
    • Horner's syndrome
  • Widening of the palpebral fissure
    • Endocrine orbitopathy
    • Cicatricial ectropion

Diagnostics[Bearbeiten]

The following dimensions of the palpebral fissure can be measured as part of the ophthalmological examination:[1]

  • Eyelid fissure width: vertical expansion
  • palpebral fissure width: horizontal expansion

Source[Bearbeiten]

  1. Lang et al, Augenheilkunde essentials, Thieme Verlag, 2015

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