The stamler lid splint: a new short-term technique for achieving therapeutic ptosis.
OBJECTIVE
To provide an introduction to a new device, the Stamler lid splint (SLS), a disposable appliance designed to create a temporary total therapeutic ptosis. We also describe the indications for its use and analyze its limitations.


METHODS
The utility of the SLS in effecting complete ptosis was examined in 33 patients. Outcome parameters examined were mean duration of (induced) ptosis, success (and failure) rate, and the incidence of side effects.


RESULTS
The most common indications for using the SLS were lid closure abnormalities (n = 6) and epithelial defects after keratoplasty (n = 5). The induced ptosis lasted for a mean of 3.3 days (range, 1.5-6). The success rate of the SLS in achieving a total ptosis was 90.9%. Failure was attributed to the presence of atypical lid or orbital anatomy. No patient developed a complication specifically related to the SLS itself.


CONCLUSIONS
The SLS is an inexpensive, quick, and technically straightforward means of treating a variety of ocular surface disorders in compliant patients with normal lid and orbital anatomy. The SLS is best suited to patients who require short-term therapy only.
Mulhern
Mark G
MG
Department of Ophthalmology, University of Toronto, Toronto, Ontario, Canada. cataract@btopenworld.com
Rootman
David S
DS
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003316:Corneal Diseases / Q000628:therapy; D004209:Disposable Equipment; D005141:Eyelid Diseases / Q000628:therapy*; D005143:Eyelids; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009885:Ophthalmology / Q000191:economics / Q000295:instrumentation*; D013165:Splints