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The tight retracted lower eyelid.

R G Small1, M Scott

  • 1Dean A. McGee Eye Institute, University of Oklahoma Health Sciences Center, Oklahoma City 73104.

Archives of Ophthalmology (Chicago, Ill. : 1960)
|March 1, 1990
PubMed
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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:

Related Experiment Videos

  • 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.