Dystonia Association South Africa

(Incorporating Essential Tremor and other Movement Disorders)

Reg No 004-729 NPO

P O Box 3160, Pinegowrie, 2123 or 3rd Floor Standard Bank Building, Oak Avenue, Randburg 2194

Tel: +27 11 326 2112 Fax: +27 11 326 3041

e-mail dystonia@dystonia.org.za , Web www.dystonia.org.za
Office hours - 08.30 to 13.30 Monday to Friday
Urgent enquiries 083 470 5896
 

YEAR 2006/2007

WE ARE SPONSORED BY THE NATIONAL LOTTERY DISTRIBUTION TRUST FUND
 ADVERTISING SPONSORED BY ETv

 
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GENERAL DESCRIPTION LUNDIE LOOPS
 

DESIGN OBJECTIVES

This device is designed to provide a comfortable and unobtrusive prop for those whose eyelids tend to droop or even close completely.  The prop is made in the form of a large circle of stainless steel wire about the same size as the spectacle lens so that the wearer looks through the middle of the prop.  The upper part of the prop, is fitted with a short piece of silicone tubing to give the necessary gentle grip on the skin of the eyelid.  The prop is secured to the spectacles by drilling two small holes in the frame and pressing the ends of the wire into them.

ADVANTAGES OF THE PROP

  1. It is comfortable to wear because it is silicone covered where it touches the eyelids, it exerts only very light upward pressure on the eyelid, with no pressure at all on the eyeball.

  2. The gauge of wire used ensures that the pressure is firm enough to hold the lid open securely, giving the wearer confidence to take part in normal activities.

  3. The prop is flexible enough to permit a degree of natural blink to clear the eye of tears.  This is not possible with the eye taped permanently open, or the alternative rigid ptosis bar offered by some opticians.

  4. It is safe because it has no sharp projections to injure the eye.

  5. The design is unobtrusive when worn because the prop can be carefully formed to lie within the outline of the spectacle frame.

FRAME FIT

It is important that the spectacle frame should sit firmly and well up on the nose to resist the slight downward pressure of the spring loop.  The frame side arms should also fit well, be properly shaped over the ears and have a firm grip across the head to prevent the frame from sliding down the nose.  These are all matters which the dispensing optician can take care of.

DRILLING THE FRAME

The position of the holes in the spectacle frame is not very critical, but they should be sited carefully and not look as though they were drilled at  random.  That is, the pair on the left should match the pair on the right.  They should be located about   apart along the top of the frame (see fig. 2) at opposite ends of each lens aperture.  These points, near the hinge and nose bridge, are the strongest parts of the frame and are not materially weakened by drilling.  The holes should be about control in the frame taking care to avoid the hinges and concealed lens fastenings like the nylon cords used in some rimless designs.  The hole centres are marked with a sharp scriber on the front face and drilled normal to the frame using a No.66 (033) drill.  Four holes are drilled right through the frame, countersinking by hand to the detail shown in figure 3.

FITTING THE FRAME

Hold the loop (still flat) against the frame and shape the tails so that they pass over the centres of the holes that have already been drilled in the frame.  Still holding the loop in place, slide the jaws of a small pair of pliers over the first tail until the end of the jaws is in line with the hole in the frame, grip and bend the wire at right angles.  Push this tail into the hole and repeat for the other tail of the loop. Check that the loop lies correctly in the frame to satisfy the four conditions above, snip off the surplus wire and remove the loop for finishing.

FINISHING THE LOOP

The component parts of the loop will now to referred to as follows:-

LOOP – the full circle of wire carrying the rubber sleeve at the top.

SIDE ARMS – The ends of the loop extending from bottom point B to the fixing holes.

PEGS – The extremities into the fixing holes.

To finish the pegs, set them to point straight forward and touch them on a grinding wheel until the length of each one matches the thickness of the pegs with a smooth file and set the tip downward with crimping pliers as shown in figures 3 & 4.

Now set the side arms forward an equal amount, about I, holding the loop at B.  The side arms should have a very slight curvature as shown in Figure 4 to ensure that the side arms and loop stand clear of the frame at the bottom and do not jam in the corner between the lens and frame.

Assemble the loop to the frame, pressing the pegs into the holes using pliers with leather between the jaws to avoid scratching the frame.

The final test is to press down on the loop at point A when it should be perfectly free to move up and down about ½ , the wires sliding sweetly over each other without jamming on the frame or nose pad.

When fitted in the frame the loop is surprisingly difficult to deform, but minor alterations to suit patient may be carried out by moulding it in position on the frame.  Major alterations, such as a change of height or loop Diameter, are test performed off the frame, working from the basic shape shown in fig.4. otherwise serious distortion will creep in and make the loop un-wearable.

ADJUSTING TO THE WEARER

Figure 5 is a diagrammatic side view of the loop in position on the wearer.  The loop is set to stand away from the spectacle frame by about ¾ at the top.  This makes it bear very lightly on the upper eyelid, lifting it into the space above the eyeball.  It should not bear upon the eyeball in any way as this would be very painful, so care must be taken not to pull the loop too far away from the frame.

To get the right amount of lift, the loops should be depressed with the middle finger of each hand when putting on one’s glasses, so that when on position on the nose, the lids will open when finger pressure is released.

 

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Blepharospasm | Generalised Dystonia | Hemifacial Spasm | Laryngeal Dystonia | Oromandibular | Spasmodic Torticollis | Torsion Dystonia | Writers Cramp