Surgical Treatment of Upper and Lower Eyelid Retraction.

Chung, Wha Sun; Lee, Bong Hwan; Kim, Byeung Kyu

Original Article

Journal of the Korean Ophthalmological Society 1992;33(1):11-17.
Published online January 1, 1992.

Surgical Treatment of Upper and Lower Eyelid Retraction.

Wha Sun Chung, Bong Hwan Lee, Byeung Kyu Kim

Department of Ophthalmology, College of Medicine, Yeung Nam University, Korea.

안검견축의 수술적 치료

정화선(Wha Sun Chung),이봉환(Bong Hwan Lee),김병규(Byeung Kyu Kim)

Abstract

A combined technique for lid retraction, that includes recession of retractors and Mullerectomy with or without spacers was presented, Twenty two procedures on eleven patients were reviewed, Of 22 procedures, 14 were for upper eyelid retraction and 8 for lower eyelid retration. Preserved sclera as a spacer was used on 5 upper eyelids and 6 lower eyelids in selected cases, Eight patients with lid retraction had hyperthyroidism, two patients showed lid retraction due to previous lid or orbital syrgery and one patient revealed lagophthalmos caused by facial palsy, All patients showed excellent cosmetic appearance during the follow-up period of 6 to 32 months (average 15months), but two patients required reoperation with happy results.

Key Words: Lid retraction;Spacers;Scleral graft;Hyperthyroidism