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The tight retracted lower eyelid.
1Dean A. McGee Eye Institute, University of Oklahoma Health Sciences Center, Oklahoma City 73104.
Archives of Ophthalmology (Chicago, Ill. : 1960)
|March 1, 1990
Summary
This study presents a new surgical technique for lower eyelid retraction, releasing eyelid retractors and using a flap to support the lid. This method successfully repaired 61 retracted lower eyelids without skin grafts.
Area of Science:
- Ophthalmology
- Plastic Surgery
Background:
- Lower eyelid retraction can stem from various conditions like Grave's ophthalmopathy, trauma, or surgery.
- Unlike involutional ectropion, retracted lower eyelids exhibit tightness due to downward traction on all lid layers.
Purpose of the Study:
- To introduce and evaluate a novel surgical technique for repairing lower eyelid retraction without the need for skin grafts.
Main Methods:
- A cohort of 40 patients with 61 retracted lower eyelids underwent surgical repair.
- The technique involves releasing the lower eyelid retractors from their tarsal attachment.
- A lateral canthoplasty and a prezygomatic flap anchored to the orbital periosteum were utilized for support.
Main Results:
- The described surgical technique successfully repaired 61 retracted lower eyelids.
- No skin grafts were required in any of the cases.
Conclusions:
- The novel surgical approach effectively addresses lower eyelid retraction.
- This method offers a viable alternative to skin grafting for eyelid reconstruction.