Symmetric tarsal show is crucial in creating upper eyelid symmetry

Purpose To illustrate different causes of upper eyelid asymmetry and to stress that detection of any asymmetry is important in avoiding an unhappy patient. Methods Patients want an ‘upper eyelid correction’ and do not know the real cause of the asymmetry, or even did not notice any asymmetry. Differ...

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Bibliographic Details
Published in:Acta ophthalmologica (Oxford, England) England), 2016-10, Vol.94 (S256), p.n/a
Main Author: De Groot, V.
Format: Article
Language:English
Subjects:
Asymmetry
Eye
Eyelid
Ophthalmology
Surgery
Symmetry
Online Access:Get full text
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Summary:Purpose To illustrate different causes of upper eyelid asymmetry and to stress that detection of any asymmetry is important in avoiding an unhappy patient. Methods Patients want an ‘upper eyelid correction’ and do not know the real cause of the asymmetry, or even did not notice any asymmetry. Different kind of asymmetric appearances of the upper eyelids will be shown and analyzed. Results The upper eyelid has several landmarks. Besides the palpebral aperture, the margin pupil distance and lid crease height, also the margin fold distance/tarsal show, the lid fullness and braw distance needs to be described. An asymmetric tarsal show is often perceived as ptosis. Also bony orbit, eye position, orbital fat and braw position are all important factors influencing the final upper eyelid shape. In some conditions a perfect upper eyelid symmetry is very difficult to achieve or sometimes impossible. Conclusions Good preoperative assessment is crucial in eyelid surgery, both in primary surgery and in correcting postoperative asymmetry. Good patient counseling is important to create realistic expectations.
ISSN:1755-375X
1755-3768
DOI:10.1111/j.1755-3768.2016.0639