| Clinical Efficacy of Blepharotomy for Upper Eyelid Retraction Associated with Thyroid Eye Disease. |
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Soh Eun Ahn, Hwa Lee, Minwook Jang, Jongmi Lee, Hyoungho Sin, Sehyun Baek |
1Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea. shbaek6534@korea.ac.kr
2Department of Ophthalmology, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.
3Cheonan Kim's Eye Clinic, Cheonan, Korea. |
| 갑상샘눈병증으로 인한 위눈꺼풀뒤당김에서 눈꺼풀절개술의 임상 효과 |
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안소은1⋅이 화1⋅장민욱1⋅이종미2⋅신형호3⋅백세현1 |
Department of Ophthalmology, Korea University College of Medicine1, Seoul, Korea
Department of Ophthalmology, Ulsan University Hospital, University of Ulsan College of Medicine2, Ulsan, Korea
Cheonan Kim’s Eye Clinic3, Cheonan, Korea |
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| Abstract |
PURPOSE
To investigate the clinical efficacy of blepharotomy to treat upper eyelid retraction associated with thyroid eye disease. METHODS: A retrospective survey was performed with 9 eyes of 7 thyroid ophthalmopathy patients, who visited Korea University Medical Center from August 2009 to February 2011, and had undergone blepharotomy. The sex, age, change of upper eyelid retraction, postoperative complication, follow-up periods, and the surgical results were reviewed. To assess the efficacy of blepharotomy more objectively, the preoperative and postoperative pictures of patients were taken and the following lid parameters measured: marginal reflex distance 1, interpalpebral fissure height, total palpebral fissure area, upper nasal palpebral fissure area, and upper temporal palpebral fissure area. RESULTS: The mean age of patients was 37.4 years and mean follow-up period was 12.8 months. Five patients had undergone surgery unilaterally and 2 patients, bilaterally. Seven eyes of 6 patients had undergone full thickness blepharotomy and 2 eyes of 1 patient had undergone graded blepharotomy. According to the 3-month preoperative and postoperative picture analysis, all lid parameters improved significantly after blepharotomy (2.03 mm, 1.95 mm, 24.28 mm2, 12.98 mm2, and 16.21 mm2, respectively). Complications associated with blepharotomy included multiple and high folds in 2 eyes of 2 patients who had undergone full thickness blepharotomy. Re-operation was performed on only 1 eye and the result was satisfactory. CONCLUSIONS: Blepharotomy for upper eyelid retraction is a safe and highly effective surgery for upper eyelid retraction associated with symptomatic thyroid eye disease. This technique achieves excellent functional and cosmetic outcomes. |
| Key Words:
Blepharotomy;Thyroid eye disease;Upper lid retraction |
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