Thyroid Eyelid Retraction
Eyelid retraction is a common feature of thyroid eye disease. It may result in exposure keratopathy with symptoms including blurred vision, photophobia, foreign body sensation, burning, and tearing. Numerous surgical procedures have been suggested over the past few decades with both anterior and posterior approaches to the levator and Müller’s muscle as well as a variety of spacer grafts. A graded levator/Müller’s recession and resection with lateral horn transection is our preferred technique for the upper eyelid. A full-thickness blepharotomy is another useful technique in the upper lid. Retractor disinsertion on its own or more often with a spacer graft (e.g., ear cartilage, hard palate mucosa) is our preferred technique in the lower eyelids.
KeywordsLid retraction Levator recession Levator/Müller’s recession Blepharotomy Spacer grafts
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