Upper eyelid retraction treated by cross-face free muscle graft: case report

Upper eyelid retraction can be an early sign of Graves' disease. In a patient with no obvious endocrinological disturbance first the left and later the right upper eyelid became retracted. Since there was no exophthalmos it was decided to counteract the levator over-activity with free muscle grafts as used in the correction of paralytic lagophthalmos.