| Surgical Outcome of Levator Recession for Correction of Upper Eyelid Retraction. |
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Yong Eun Lee, Ji Sun Paik, Su Kyung Jung, Uk Hyun Sonn, Suk Woo Yang |
1Department of Ophthalmology and Visual Science, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea. yswoph@catholic.ac.kr
2Catholic St. Mary's Eye Clinic, Seoul, Korea. |
| 위눈꺼풀뒤당김 환자에서 눈꺼풀올림근 후전술의 치료 효과 |
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이용은1⋅백지선1⋅정수경1⋅손욱현2⋅양석우1 |
Department of Ophthalmology and Visual Science, Seoul St. Mary’s Hospital, The Catholic University of Korea College of Medicine1, Seoul, Korea
Catholic St. Mary’s Eye Clinic2, Seoul, Korea |
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| Abstract |
PURPOSE
To assess the efficacy of levator recession under local anesthesia to treat upper eyelid retraction. METHODS: Records of 12 patients (12 lids) were reviewed retrospectively. Postoperative cosmetic results were assessed as good, fair, or poor based on the upper lid height and symmetry. Preoperative and postoperative marginal reflex distance (MRD1, mm), upper eyelid asymmetry, lid lag, lagophthalmos, and ocular exposure symptoms were compared. The reoperation rate was also evaluated. RESULTS: Causes accounting for upper lid retraction were Graves ophthalmopathy (9 lids, 75.0%), orbital pseudotumor (2 lids, 16.7%), and hypercorrection from previous ptosis operation (1 lid, 8.3%). At a mean +/- standard deviation of 27.7 +/- 24.0 months follow-up (range, 5-60 months), 11 patients (91.7%) showed significantly better cosmetic results. MRD1 decreased an average of 3.1 +/- 1.3 mm from 6.3 +/- 1.5 mm preoperatively to 3.2 +/- 0.9 mm postoperatively (p < 0.001). Upper lid asymmetry, lagophthalmos, and lid lag were also reduced significantly (p < 0.001). Overcorrection occurred in 3 lids (25%) and required levator advancement. Eleven patients (91.7%) experienced complete resolution of dry eye symptoms following levator recession. CONCLUSIONS: Levator recession showed good cosmetic results up to 2 years after surgery for upper eyelid retraction. |
| Key Words:
Asymmetry;Cosmetic results;Levator recession;Lid lag;Upper eyelid retraction |
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