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Updated: Jul 9, 2025

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Eyelid Surgery in Thyroid Eye Disease.

Milind N Naik1, Priyanka Walvekar2, Varshitha Hemanth Vasanthapuram2

  • 1Hariram Motumal Nasta, and Renu Hariram Nasta Ophthalmic Plastic Surgery Service, L.V. Prasad Eye Institute, Hyderabad, India.

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|December 6, 2023
PubMed
Summary

Thyroid eye disease (TED) commonly causes eyelid retraction, requiring surgery. Other eyelid issues like blepharoptosis, entropion, and epiblepharon are rare in TED but may need surgical correction.

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Area of Science:

  • Ophthalmology
  • Endocrinology

Background:

  • Thyroid eye disease (TED) is an autoimmune condition affecting the orbit and periorbital tissues.
  • Eyelid abnormalities are common manifestations of TED, impacting patient quality of life.

Purpose of the Study:

  • To provide a comprehensive review of surgical management for eyelid manifestations in thyroid eye disease.
  • To summarize current surgical approaches for common and rare eyelid issues in TED.

Main Methods:

  • Systematic literature search of PubMed for eyelid manifestations of TED.
  • Review of studies detailing surgical interventions for these conditions.
  • Inclusion of author's clinical experience.

Main Results:

  • Eyelid retraction is the most frequent eyelid abnormality in TED, with established surgical techniques for correction.
  • Blepharoptosis, entropion, and epiblepharon are less common, often resolving spontaneously or after orbital decompression.
  • Surgical intervention is frequently necessary for eyelid retraction, while other conditions may require it less often.

Conclusions:

  • Eyelid retraction is the primary surgical target in TED-related eyelid pathology.
  • While less common, blepharoptosis, entropion, and epiblepharon may occasionally necessitate surgical correction in TED patients.