Normal Eyelid Sensation Distribution

NCT ID: NCT02059824

Last Updated: 2017-02-27

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-03-31

Study Completion Date

2014-06-30

Brief Summary

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The purpose of this study is to determine normal eyelid sensation distribution using a Cochet-Bonett Aesthesiometer.

Detailed Description

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After proper taken consent patients without previous eyelid surgery in the Oculoplastic clinic at Duke Eye Center and Duke Aesthetic Center will be enrolled to test the eyelid sensation distribution using the Cochet-Bonnet aesthesiometer. The aesthesiometer (Luneau ophthalmologie) with a 0.12mm diameter filament was chosen for its ease of use, sensitivity, and safety. This instrument contains a 6 cm long, retractable, flexible monofilament. For any given length, when applied perpendicularly to test surface, the filament will exert a precise pressure before visibly bending. The filament length inversely corresponds to the pressure exerted by the aesthesiometer.

Selection of eyelid laterality will be randomized on the same day of the study. Ipsilateral upper and lower eyelids will be divided in thirds (medial, central and lateral borders) including the margin (fig.2). The eyelid sensation will be tested on every third by applying the tip of the aesthesiometer filament perpendicular to the eyelid skin and tarsal plate until the filament bent slightly. The filament length will be set at 6 cm (longest length) and applied to the test site 3 times. This process will be repeated 3 times and if the patient verbally responded to the 3rd touch, the number 6 will be recorder.

If the patient responded less than 3 of the 3 times, the filament will be shortened by 0.5 cm and the test will be repeated. This process will be continued by shortening the filament 0.5 cm each time, until the patient feels the filament touch 3 of 3 times. This filament length number will be recorded as the touch reading for that time period.

The mean touch thresholds for the various test sites will be compared using a Freidman two-way analysis variant (ANOVA).

Conditions

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Normal Eyelid Sensation Distribution

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Study Groups

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Eyelid

The selection of the laterality of the eyelid will be randomized

Group Type EXPERIMENTAL

Aesthesiometer

Intervention Type DEVICE

The eyelid sensation will be tested on every third by applying the tip of the aesthesiometer filament perpendicular to the eyelid skin and tarsal plate until the filament bent slightly. The filament length will be set at 6 cm (longest length) and applied to the test site 3 times. This process will be repeated 3 times and if the patient verbally responded to the 3rd touch, the number 6 will be recorder.

If the patient responded less than 3 of the 3 times, the filament will be shortened by 0.5 cm and the test will be repeated. This process will be continued by shortening the filament 0.5 cm each time, until the patient feels the filament touch 3 of 3 times. This filament length number will be recorded as the touch reading for that time period.

Interventions

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Aesthesiometer

The eyelid sensation will be tested on every third by applying the tip of the aesthesiometer filament perpendicular to the eyelid skin and tarsal plate until the filament bent slightly. The filament length will be set at 6 cm (longest length) and applied to the test site 3 times. This process will be repeated 3 times and if the patient verbally responded to the 3rd touch, the number 6 will be recorder.

If the patient responded less than 3 of the 3 times, the filament will be shortened by 0.5 cm and the test will be repeated. This process will be continued by shortening the filament 0.5 cm each time, until the patient feels the filament touch 3 of 3 times. This filament length number will be recorded as the touch reading for that time period.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Capable and willing to provide consent
* Has been seen for the first time in the Oculoplastic clinic and does not have previous eyelid surgery
* At least 18 years of age

Exclusion Criteria

* Unable or unwilling to give consent
* Under 18 years of age
* Previous eyelid surgery
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Duke University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Michael Richard, MD

Role: PRINCIPAL_INVESTIGATOR

Duke Medical Center

Locations

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Duke Eye Center

Durham, North Carolina, United States

Site Status

Countries

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United States

References

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McGowan DP, Lawrenson JG, Ruskell GL. Touch sensitivity of the eyelid margin and palpebral conjunctiva. Acta Ophthalmol (Copenh). 1994 Feb;72(1):57-60. doi: 10.1111/j.1755-3768.1994.tb02738.x.

Reference Type BACKGROUND
PMID: 8017198 (View on PubMed)

Lowther GE, Hill RM. Sensitivity threshold of the lower lid margin in the course of adaptation to contact lenses. Am J Optom Arch Am Acad Optom. 1968 Sep;45(9):587-94. doi: 10.1097/00006324-196809000-00003. No abstract available.

Reference Type BACKGROUND
PMID: 5245726 (View on PubMed)

Black EH, Gladstone GJ, Nesi FA. Eyelid sensation after supratarsal lid crease incision. Ophthalmic Plast Reconstr Surg. 2002 Jan;18(1):45-9. doi: 10.1097/00002341-200201000-00007.

Reference Type BACKGROUND
PMID: 11910324 (View on PubMed)

Komiyama O, Wang K, Svensson P, Arendt-Nielsen L, Kawara M, De Laat A. Ethnic differences regarding sensory, pain, and reflex responses in the trigeminal region. Clin Neurophysiol. 2009 Feb;120(2):384-9. doi: 10.1016/j.clinph.2008.11.010. Epub 2008 Dec 24.

Reference Type BACKGROUND
PMID: 19110468 (View on PubMed)

Costas PD, Heatley G, Seckel BR. Normal sensation of the human face and neck. Plast Reconstr Surg. 1994 May;93(6):1141-5. doi: 10.1097/00006534-199405000-00005.

Reference Type BACKGROUND
PMID: 8171132 (View on PubMed)

Other Identifiers

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Pro00051285

Identifier Type: -

Identifier Source: org_study_id

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