Stability of Eyelid Height After Graded Anterior-Approach Lid Lowering for Dysthyroid Upper Lid Retraction

Objective: To investigate the outcome of a modified anterior approach surgical procedure for the correction of primary upper eyelid retraction in thyroid eye disease. Methods: A retrospective review of 52 consecutive cases (in 32 patients) of anterior-approach graded upper lid lowering for the treat...

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Bibliographic Details
Published in:Orbit (Amsterdam) 2011-12, Vol.30 (6), p.280-288
Main Authors: Shortt, Alex J., Bhogal, Maninder, Rose, Geoffrey E., Shah-Desai, Sabrina
Format: Article
Language:English
Subjects:
Adult
Aged
disease
eye
Eyelid Diseases - surgery
Female
Graves Ophthalmopathy - surgery
Humans
lid
lowering
Middle Aged
Ophthalmologic Surgical Procedures - methods
Photography
Retrospective Studies
Thyroid
Treatment Outcome
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Summary:Objective: To investigate the outcome of a modified anterior approach surgical procedure for the correction of primary upper eyelid retraction in thyroid eye disease. Methods: A retrospective review of 52 consecutive cases (in 32 patients) of anterior-approach graded upper lid lowering for the treatment of primary eyelid retraction, carried out at Moorfields Eye Hospital between 2006-2009 was conducted. Measurements of upper margin-reflex distance (MRD), upper lid skin crease height and skin fold height were taken from clinical records and photographs. A comparison between pre-operative and both early and late post-operative measurements was conducted, with a maximal follow-up of 12 months. Surgery was considered successful when all of the following criteria were met; an upper lid margin covering 0.5-1.5 mm of the superior cornea in the 12 o'clock position, smooth eyelid contour, skin crease height within 6-10 mm or upper lid skin fold within 2-5 mm of the lid margin, symmetry of lid position (difference in MRD of
ISSN:0167-6830
1744-5108
DOI:10.3109/01676830.2011.604897