𝔖 Bobbio Scriptorium
✦   LIBER   ✦

The eyelid levator muscle: Servant of two masters

✍ Scribed by Paul J. May; Robert G. Baker; Bingzhong Chen


Book ID
102502860
Publisher
John Wiley and Sons
Year
2002
Tongue
English
Weight
296 KB
Volume
17
Category
Article
ISSN
0885-3185

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✦ Synopsis


The levator palpebrae superioris muscle (henceforth, levator) plays an important role in two very different eyelid behaviors: lid saccades and blinks. During vertical saccades, the levator moves the upper eyelid out of the path of the pupil when looking up. When the eyes are open, the levator is tonically active to maintain position of the upper lid, so for blink down-phases it must be transiently turned off, while its antagonist, the orbicularis oculi muscle, closes the eye. Disorders in this system, including apraxia of lid opening and lid lag, can disrupt vision, but the causes of the disorders are unclear. 1,2 Consequently, we have investigated the circuitry that underlies this dual control in both the cat and macaque monkey. [3][4][5]


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## Abstract We report on five patients with involuntary eyelid closure, diagnosed as blepharospasm and referred to us for treatment with botulinum A toxin. Synchronous electromyographic (EMG) recording was performed from the levator palpebrae superioris (LP) and the orbicularis oculi (OO) muscles.