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S. Y. Fu, M. Boniuk, M. T. Yen; Analysis of Full-Thickness Blepharotomy for Eyelid Retraction. Invest. Ophthalmol. Vis. Sci. 2008;49(13):2297.
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Upper eyelid retraction is the most common feature in thyroid eye disease. Complications include epiphora, foreign body sensation, punctate keratitis, corneal exposure and presents as a cosmetic problem. The purpose of this study is to analyze the methods of repair and outcomes, as well as complications of full thickness blepharotomy for upper eyelid retraction.
Retrospective chart review of patients with eyelid retraction needing surgical repair over a 36 month period. Full-thickness blepharotomy of upper eyelid was performed and outcomes were determined by postoperative examination.
A total of fourteen eyelids from eleven patients were reviewed. Patient age ranged from 27 to 65 years. There were eight female and three male patients. We found that result was excellent among all eleven patients with no surgical complications. Possible complications include wound dehiscence, recurrence, under or over corrections.
Full-thickness belpharotomy is a reliable and safe method for upper eyelid retraction repair.
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