Floppy eyelids are usually asymmetrical, and more severe on the side the patient sleeps on. This has been related to the mechanical basis of this entity’s pathophysiology. Patients who exhibit floppy eyelid syndrome (FES) tend to suffer from obstructive sleep apnea and other sleeping disorder such as snoring; therefore, their spouses are likely to be found sleeping facing away from them. In this study, we aim to assess this correlation between FES laterality and the spouse’s sleeping side. 185 patients with floppy eyelid were assessed. Upper lids were pulled cephalad towards the orbital rim to assess which side everted and was more floppy. Based on the upper lid distraction test, a prediction was made to which side of the bed the spouse slept on. 185 patients with floppy eyelid syndrome were assessed, 160 male patients and 25 females, at an average age of 68. All 25 female patients, and 117 of the male patients, had spouses that slept in the same bed. Their side of sleep was predicted correctly in 87% of cases. The physician extrapolated the spouse slept on the opposite side facing away from the snoring spouse and was correct in 91% of cases. There is a high correlation between FES laterality and the patient’s spouse’s sleeping side. These data strengthen the mechanical etiology, and can also be used to confirm the worse-affected side in FES patients.

中文翻译：

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松软的眼睑：配偶的睡眠模式作为偏侧性的指标

松软的眼睑通常是不对称的，在患者睡觉的一侧更为严重。这与该实体病理生理学的机械基础有关。表现出松弛眼睑综合征 (FES) 的患者往往患有阻塞性睡眠呼吸暂停和其他睡眠障碍，例如打鼾；因此，他们的配偶很可能被发现背对着他们睡觉。在这项研究中，我们旨在评估 FES 偏侧性与配偶睡眠侧之间的这种相关性。对 185 名眼睑松弛的患者进行了评估。将上眼睑向头侧拉向眶缘，以评估哪一侧外翻且更松软。根据上睑分心测试，预测配偶睡在床的哪一侧。评估了 185 名眼睑松弛综合征患者，男性 160 名，女性 25 名，平均年龄为 68 岁。所有 25 名女性患者和 117 名男性患者的配偶都睡在同一张床上。在 87% 的案例中，他们的睡眠一侧被正确预测。医生推断配偶睡在远离打鼾的配偶的另一侧，并且在 91% 的情况下是正确的。FES 偏侧性与患者配偶的睡眠侧之间存在高度相关性。这些数据加强了机械病因，也可用于确认 FES 患者中受影响更严重的一侧。FES 偏侧性与患者配偶的睡眠侧之间存在高度相关性。这些数据加强了机械病因，也可用于确认 FES 患者中受影响更严重的一侧。FES 偏侧性与患者配偶的睡眠侧之间存在高度相关性。这些数据加强了机械病因，也可用于确认 FES 患者中受影响更严重的一侧。