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Summary
This study presents a novel surgical technique for correcting upper and lower eyelid retraction. The method involves recessing the aponeurosis and extirpating Müller
Area of Science:
- Ophthalmology
- Oculoplastic Surgery
Background:
- Eyelid retraction can cause significant functional and aesthetic issues.
- Existing surgical techniques for eyelid retraction have limitations.
Observation:
- A new anterior approach technique for upper eyelid retraction is described, modifying aponeurotic ptosis surgery.
- Müller's muscle is extirpated, and the levator's lateral horn is severed to address temporal elevation.
- Lower eyelid retractors are recessed via a conjunctival approach.
Findings:
- The technique effectively corrects various degrees of upper eyelid retraction and up to 3 mm of lower eyelid retraction.
- Intraoperative adjustments ensure optimal lid height and contour.
- Long-term, lasting, and predictable lid height was achieved in 31 patients (63 eyelids).
Implications:
- This technique offers a reliable solution for correcting eyelid retraction.
- It provides predictable and lasting results for both upper and lower eyelids.
- Further studies with longer follow-up are warranted to confirm long-term efficacy.