The results obtained by both methods are comparable and reliable due to the statistical equivalence of the obtained measurements.

RESUMOA paquidermoperiostose é uma síndrome caracterizada por acometimento cutâneo e ósseo, e em alguns casos ocorre comprometimento palpebral leve. É uma síndrome rara, idiopática ou hereditária, com provável herança autossômica dominante de penetrância variável. Descreve-se o caso de um paciente com ptose grave por paquidermoperiostose elucidando sua fisiopatologia e conduta cirúrgica aplicada.Descritores: Blefaroptose/fisiopatologia; Blefaroptose/cirurgia; Osteoartropatia hipertrófica primária/etiologia; Relatos de casos ABSTRACT Pachydermoperiostosis is a rare disorder characterized by the involvement of skin and bone, and in some cases it can have a mild adverse effect in the eyelid. Although the etiology is still unclear, idiopathic or hereditary cases, in an autossomal dominant inheritance, have been reported. This study is a case report of a patient with severe blepharoptosis due to pachydermoperiostosis, which describes the surgical procedure and the physiopathology of the condition.

The aim of this paper is to present an automatic eyelid measurement system based on digital video processing techniques. Currently, the protocol to measure the palpebral fissure (PF) and the marginal reflex distance (MRD) requires the use of a millimetric ruler. This procedure is subject to error and the accuracy and reproducibility of the results depend on the experience of the examiner. The computer vision system introduced in this paper uses two near infrared light sources synchronized with the camera to robustly detect and track the pupil, and then segment the limbus and the eyelids. The corneal reflection generated by the light sources are used to create a reference point that is used to define the vertical line along which the measurements are taken, and to determine when the patient is actually looking at the camera. Our experimental results show that the system is robust to the presence of eyelashes, glasses, and contact lenses, and the measurements can be accurate to tenths of millimeters.