Surgical Correction of Lower Lid Retraction Using The Scleral Spacer.

Kim, Sang Duck; Koh, Shin Il; Park, Kyung Sook; Kim, Jae Duck

Original Article

Journal of the Korean Ophthalmological Society 1998;39(12):3083-3087.
Published online December 1, 1998.

Surgical Correction of Lower Lid Retraction Using The Scleral Spacer.

Sang Duck Kim, Shin Il Koh, Kyung Sook Park, Jae Duck Kim

Department of Ophthalmology, College of Medicine, Wonkwang University.

보존 공막을 이용한 하안검 후퇴의 수술적 교정

김상덕(Sang Duck Kim),고신일(Shin Il Koh),박경숙(Kyung Sook Park),김재덕(Jae Duck Kim)

Abstract

Lower lid retraction can be caused by many etiologies but few require surgical intervention except for cosmetic reasons and exposure deratitis due to lagophthalmos. We report three lower lid retraction patients who underwent lower lid reconstruction was due to congenital etiology or was secondary to excessive inferior rectus muscle recession or lower lid blepharoplasty due to orbital neurofibroma. All three patients found their results satisfactory and showed no severe side effects during the follow-up period. It is suggested that the use of scleral spacer combined with lateral canthoplasty be an effective surgical procedure for correction of lower lid retraction.

Key Words: Lagophthalmos;Lateral canthoplasty;Lower lid retraction;Scleral spacer