Surgical Outcome of Levator Recession for Correction of Upper Eyelid Retraction.
10.3341/jkos.2012.53.10.1378
- Author:
Yong Eun LEE
1
;
Ji Sun PAIK
;
Su Kyung JUNG
;
Uk Hyun SONN
;
Suk Woo YANG
Author Information
1. Department of Ophthalmology and Visual Science, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea. yswoph@catholic.ac.kr
- Publication Type:Original Article
- Keywords:
Asymmetry;
Cosmetic results;
Levator recession;
Lid lag;
Upper eyelid retraction
- MeSH:
Accounting;
Anesthesia, Local;
Cosmetics;
Eye;
Eyelids;
Follow-Up Studies;
Graves Ophthalmopathy;
Humans;
Orbital Pseudotumor;
Reflex;
Reoperation;
Retrospective Studies
- From:Journal of the Korean Ophthalmological Society
2012;53(10):1378-1384
- CountryRepublic of Korea
- Language:Korean
-
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.
