Upper Eyelid Retraction After Periorbital Trauma.
10.3341/kjo.2008.22.4.255
- Author:
Soon Il KWON
1
;
Yun Jeong KIM
Author Information
1. Department of Ophthalmology, Hallym University Sacred Heart Hospital, Anyang, Korea. bonamd@paran.com
- Publication Type:Case Report
- Keywords:
Eyelid retraction;
Periorbital contusion
- MeSH:
Accidents, Traffic;
Adult;
Eye Injuries/*complications/surgery;
Eyelid Diseases/*etiology/radiography;
Female;
Humans;
Lacerations/complications/surgery;
Lacrimal Apparatus/*injuries;
Male;
Middle Aged;
Oculomotor Muscles;
Orbital Fractures/*complications/surgery;
Tomography, X-Ray Computed
- From:Korean Journal of Ophthalmology
2008;22(4):255-258
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report four unusual cases of upper eyelid retraction following periorbital trauma. Four previously healthy patients were evaluated for unilateral upper eyelid retraction following periorbital trauma. A 31-year-old man (Case 1) and a 24-year-old man (Case 2) presented with left upper eyelid retraction which developed after blow-out fractures, a 44-year-old woman (Case 3) presented with left upper eyelid retraction secondary to a periorbital contusion that occurred one week prior, and a 56-year-old man (Case 4) presented with left upper eyelid retraction that developed 1 month after a lower canalicular laceration was sustained during a traffic accident. The authors performed a thyroid function test and orbital computed tomography (CT) in all cases. Thyroid function was normal in all patients, CT showed an adhesion of the superior rectus muscle and superior oblique muscle in the first case and diffuse thickening of the superior rectus muscle and levator complex in the third case. CT showed no specific findings in the second or fourth cases. Upper eyelid retraction due to superior complex adhesion can be considered one of the complications of periorbital trauma.
