June 2013
Volume 54, Issue 15
Free
ARVO Annual Meeting Abstract  |   June 2013
Posterior conjunctival plication to correct secondary ptosis after eyelid retraction repair in Graves disease
Author Affiliations & Notes
  • Vinita Srivastava
    Dept of Ophthalmology, Indiana University School of Medicine, Indianapolis, IN
  • Heena Patel
    Dept of Ophthalmology, Indiana University School of Medicine, Indianapolis, IN
  • Hassan Shah
    Dept of Ophthalmology, Indiana University School of Medicine, Indianapolis, IN
    Oculofacial Plastic and Orbital surgery, Indianapolis, IN
  • Hui Bae Lee
    Dept of Ophthalmology, Indiana University School of Medicine, Indianapolis, IN
    Oculofacial Plastic and Orbital surgery, Indianapolis, IN
  • William Nunery
    Dept of Ophthalmology, Indiana University School of Medicine, Indianapolis, IN
    Oculofacial Plastic and Orbital surgery, Louisville, KY
  • Footnotes
    Commercial Relationships Vinita Srivastava, None; Heena Patel, None; Hassan Shah, None; Hui Bae Lee, None; William Nunery, None
  • Footnotes
    Support None
Investigative Ophthalmology & Visual Science June 2013, Vol.54, 5913. doi:
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      Vinita Srivastava, Heena Patel, Hassan Shah, Hui Bae Lee, William Nunery; Posterior conjunctival plication to correct secondary ptosis after eyelid retraction repair in Graves disease. Invest. Ophthalmol. Vis. Sci. 2013;54(15):5913.

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Abstract
 
Purpose
 

To describe the results of posterior conjunctival plication for the treatment of secondary ptosis after eyelid retraction repair in Graves disease.

 
Methods
 

A retrospective analysis was performed on patients in our practice with post- operative ptosis following upper eyelid retraction repair for Graves orbitopathy. The patients were evaluated preoperatively by routine eye examination and eyelid measurements including MRD1 and levator function. Four eyes of 4 patients who presented with ptosis following eyelid retraction repair surgery were corrected with posterior conjunctival plication.

 
Results
 

Posterior conjunctival plication for secondary ptosis following eyelid retraction repair was successful in 4 eyelids of 4 patients with Graves disease. Follow up period was from 6-10 months over which no sign of recurrent ptosis was observed.

 
Conclusions
 

Posterior conjunctival plication is an effective surgical technique for the correction of secondary ptosis following eyelid retraction repair in patients with Graves disease.

 
 
Post retraction repair
 
Post retraction repair
 
 
Post ptosis repair
 
Post ptosis repair
 
Keywords: 526 eyelid  
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