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Retractor lysis as prophylaxis for lower lid retraction following inferior rectus recession
DooHo B Kim1, Dale R Meyer, John W Simon
1Department of Ophthalmology/Lions Eye Institute, Albany Medical College, New York 12208, USA.
Background:
Lower lid retraction is a frequent complication of inferior rectus recession, especially of larger amounts.
Methods:
With an incision through the palpebral conjunctiva, the lower lid retractors were lysed at the same anesthesia as inferior rectus recessions in a total of 20 patients (24 eyes). Included are 10 patients (12 eyes) described earlier and presented here with extended follow-up. Inferior rectus recessions ranged from 2 to 10 mm (mean, 4.2 mm).
Results:
No patient had clinically apparent lid retraction or subjective complaints of lid deformity. Results were stable for 1 to 89 months (mean, 24.8 months) of follow-up. Three patients developed symblepharon, but surgical repair was required in only 1 case.
Conclusion:
Lower lid retractor lysis is a simple, safe, and effective procedure to prevent the lower lid retraction associated with inferior rectus recession.
