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Levator-Muller's recession using labial mucosa as a spacer in severe eyelid retraction
Neelam Pushker1, Rachna Meel2, Mandeep S Bajaj1
1Oculoplastics, Orbit & Tumor Services, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
Objective:
To evaluate the use of labial mucosa as a spacer for levator-Muller's recession in correction of severe eyelid retraction.
Design:
Retrospective interventional study.
Participants:
We retrospectively reviewed records of 4 patients with severe upper eyelid retraction not associated with cicatricial diseases of the conjunctiva.
Method:
Surgical correction of eyelid retraction was performed by Levator-Muller's recession using autologous mucosal graft (from lip) as a spacer through transconjunctival approach. Eyelid height and contour were the main outcome measures evaluated after surgery.
Results:
There was resolution of dry eye symptoms in all 4 cases. In 2 cases the corrected eyelid height was within 1 mm of the desired lid position. The lid contour was good in 2 cases and satisfactory in 2 cases because of mild lateral flare. The eyelid height remained stationary till the last follow-up, which ranged from Eyelid height and contour were the main outcome measures evaluated after surgery. 6-30 months (mean: 18 months).
Conclusions:
Labial mucosal graft as a spacer for levator-Muller's recession is a good option for correction of severe upper eyelid retraction. It provides stable eyelid position within 3 months of surgery with no corneal complications.
