The effect of phenylephrine on Müller muscle. A blepharogram study of eyelid motion

Ophthalmology. 1995 Apr;102(4):599-606. doi: 10.1016/s0161-6420(95)30978-5.

Abstract

Purpose: The blepharogram technique is used to study the effect of a drug on blinking. The authors show that ocular instillation of phenylephrine, a stimulant of Müller muscle of the eyelid, accelerates the up phase of the blink.

Methods: Motion of a tiny search coil glued to the eyelid moving in a weak magnetic field modifies an induced alternating current which is amplified and used to display the position of the upper eyelid in degrees on the ordinate of a graph with time in milliseconds on the abscissa. The graph is called a blepharogram. Blepharogram studies and individual blink analysis show the effect of phenylephrine on eyelid motion (blinking).

Results: Instillation of phenylephrine accelerated the up phase of the blink in all ten experimental subjects. In 65% of subjects, phenylephrine also produced or increased newly described N and M blepharogram patterns.

Conclusion: This is the first instrumental detection of the effect of a pharmacologic agent on eyelid motion. The blepharogram technique provides insight into eyelid physiology and can be used to study any neuromuscular condition that affects eyelid motion.

MeSH terms

  • Adult
  • Blinking / drug effects
  • Blinking / physiology*
  • Eye Movements
  • Eyelids / drug effects
  • Eyelids / physiology*
  • Facial Muscles / drug effects*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Oculomotor Muscles / drug effects*
  • Ophthalmic Solutions
  • Ophthalmology / instrumentation
  • Phenylephrine / administration & dosage
  • Phenylephrine / pharmacology*

Substances

  • Ophthalmic Solutions
  • Phenylephrine