Evidence map›Paper›PMID 38038607›Full record

ArticleTranslational vision science & technology2023

An Adjustable Magnetic Levator Prosthesis for Customizable Eyelid Reanimation in Severe Blepharoptosis II: Randomized Evaluation of Angular Translation.

Pooyan Tirandazi, Melanie Nadeau, Russell L Woods, Eleftherios I Paschalis, Kevin E Houston

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Translational vision science & technology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04678115 (A Randomized Cross-Over Clinical Trial Comparing Two Non-Surgical Treatments for Severe Blepharoptosis), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04678115 nacompletednot on this map

A Randomized Cross-Over Clinical Trial Comparing Two Non-Surgical Treatments for Severe Blepharoptosis

TypeinterventionalSponsorMassachusetts Eye and Ear InfirmaryRan2021 to 2024Enrolled16ConditionsBlepharoptosis, Ptosis, Eyelid, Myasthenia Gravis, StrokeArmsMagnetic Levator Prosthesis (MLP), Kinesiotape Frontalis Sling (KTFS)
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Trial
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Pooyan TirandaziSchepens Eye Research Institute, Massachusetts Eye and Ear, and Harvard Medical School, Boston, MA, USA.
Melanie NadeauSchepens Eye Research Institute, Massachusetts Eye and Ear, and Harvard Medical School, Boston, MA, USA.
Russell L WoodsSchepens Eye Research Institute, Massachusetts Eye and Ear, and Harvard Medical School, Boston, MA, USA.
Eleftherios I PaschalisSchepens Eye Research Institute, Massachusetts Eye and Ear, and Harvard Medical School, Boston, MA, USA.
Kevin E HoustonSchepens Eye Research Institute, Massachusetts Eye and Ear, and Harvard Medical School, Boston, MA, USA.
Massachusetts Eye and Ear Infirmary · US

Funding

VISION RESEARCHP30EY003790 · NEI · SCHEPENS EYE RESEARCH INSTITUTE · PI Sunil K Chauhan · 1985 to 2026
$25.5M
Mass Eye and Ear-Vision Clinical Scientist Development ProgramK12EY016335 · NEI · MASSACHUSETTS EYE AND EAR INFIRMARY · PI Reza Dana · 2004 to 2026
$12.3M
Management of Blepharoptosis with Neodymium Magnet Systems: The Boston Blink-netic ProjectR01EY029437 · NEI · MASSACHUSETTS EYE AND EAR INFIRMARY · PI HOUSTON, KEVIN EDWARD · 2018 to 2022
$2.5M
A Custom-Print Adjustable Force Magnetic Device for Severe BlepharoptosisR43EY029901 · NEI · SKELMET, INC. · PI CAO, YU · 2019 to 2019
$149k
NEI NIH HHS K12 EY016335NEI NIH HHS P30 EY003790NEI NIH HHS R01 EY029437NEI NIH HHS R43 EY029901
6 · The paper itself

Abstract

Purpose: Examine the effect of force modulation via angular translation of a static magnetic field for customizable treatment of severe blepharoptosis. Methods: Prototype adjustable-force magnetic levator prostheses (aMLP) consisted of a spectacle-mounted magnet in rotatable housing and small eyelid-attached magnets embedded in a biocompatible polymer. Interpalpebral fissure (IPF) of 17 participants with severe blepharoptosis was continuously measured for one minute at five spectacle magnet angles, with order randomized and participant and data analyst masked. The hypothesis that angular position affected opening IPF (o-IPF), minimum blink IPF (m-IPF), and comfort ratings (1-10) was tested. Results: The aMLP improved o-IPF from 4.5 mm without the device to 6.2 mm on the lowest force setting (P < 0.001) and 7.1 mm on the highest setting (P < 0.001) and allowed for complete volitional blink regardless of setting (average m-IPF 0.4 mm and no change with aMLP; P = 0.76). Spontaneous blink without the device (2.0 mm) was affected on the highest force setting (m-IPF 3.9 mm; P < 0.001) but only marginally so on the lowest setting (3.0 mm; P = 0.06). Comfort (7.6/10) did not vary with the angle (P > 0.36). Profile analysis found substantial individual responses to angle (P < 0.001), confirming the value of customization. Conclusions: Angular translation provided adjustable force, which had a statistically and clinically meaningful impact on eye opening and the completeness of the spontaneous blink. This quantitative evidence supports continued use of the angular translation mechanism for force adjustment in the customizable magnetic correction of severe blepharoptosis. Translational Relevance: Evidence for the benefit of customizable magnetic force via angular translation in a larger sample of participants than reported previously.

Indexed as

BlepharoptosisEyelidsHumansMagnetic PhenomenaProstheses and Implants

Identifiers

PMID38038607
PMCPMC10697171
OpenAlexW4389244959

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.