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A new technique for correction of iatrogenic upper eyelid retraction by using a composite flap of the orbicularis muscle and fascia on the anterior surface of the tarsal plate

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Chinese Journal of Plastic and Reconstructive Surgery 2024年第3期6卷 116-123页

作者： Kaichong Nie Lidan Chen Xinzhu Qi Shiruo Zhang Xuanyu Yin Miaomiao Zhao Yuanyuan Du Shanghai EyesShine BeauCare Medical Aesthetic Clinic Shanghai201107China

Background:upper eyelid retraction is a challenging complication of cosmetic upper eyelid *** avoid extra trauma,we developed a new technique for correcting iatrogenic upper eyelid retraction by postmigrating a compound flap of the orbicularis muscle and fascia(OFC)on the anterior surface of the tarsal *** method extends the aponeurosis of the levator palpebrae superioris muscle(LPS),which can achieve a good correction for post-blepharoplasty ***:We collected data from 15 patients with mild to moderate iatrogenic upper eyelid retraction who were treated at our hospital between February 2017 and December *** OFC was used to replace the missing part of the LPS,and post-migration of the LPS and fixation of the OFC to the tarsal margin were *** outcome measurements included postoperative binocular symmetry,double eyelid smoothness,eyelid fullness,margin reflex distance(MRD1),degree of eyelid closure,and exposure *** patients were followed-up at seven days,one month,and six months ***:One patient with moderate eyelid retraction showed undercorrection 6 months postoperatively,with the upper eyelid margin located at the upper edge of the *** remaining patients had the upper eyelid margin stabilized at 1.0–2.0 mm below the upper corneal *** observational indicators were satisfactory,including binocular symmetry,double eyelid fluency,and eyelid *** the follow-up,no exposure keratitis was *** MRD1 indexes after the operation were significantly different(Peyelid retraction after ptosis with less damage and good postoperative eyelid morphology and closure function.

关键词： upper eyelid retraction Levator palpebrae superioris Orbicularis muscle and fascia Migration

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Presence of thyroid-associated ophthalmopathy in Hashimoto's thyroiditis

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International Journal of Ophthalmology(English edition) 2014年第4期7卷 644-647页

作者： Emrah Kan Elif Kilic Kan Gülcin Ecemis Ramis Colak Department of Ophthalmology Samsun Training and Research Hospital Department of Endocrinology and Metabolism Ondokuz Mayis University Department of Endocrinology and Metabolism Sevgi Atasagun State Hospital

·AIM: To determine the prevalence of ophthalmopathy in Hashimoto’s patients and to make a comparison in subgroups of patients·METHODS: The study involved 110 Hashimoto’s thyroiditis patients and 50 control subjects attending to the endocrinology department of the hospital. Subgroup classification of patients was made as euthyroid,subclinic and clinic in Hashimato’s thyroiditis. All patients were evaluated by a single experienced ophthalmologist for the prevalence and characteristics of eye signs.·RESULTS:Theoverallprevalencesofeyechanges were22.7%(25 patients) in patients and 4%(2 persons) in control subjects respectively(P =0.002). In patients the most common symptom was retrobulbar eye pain with or without any eye movement. Thirteen patients had significant upper eyelid retraction(11.8%). Six patients had eye muscle dysfunction as reduced eye movements in up gaze. In control patients one person had proptosis and another had lid retraction. The clinical activity score and classification of the ophthalmopathy did not show any significant differences among subgroups.·CONCLUSION:Theeyesignsweremostlymild(22.7%)and the most common eye sign was the presence of upper eyelid retraction(11.8%). Additionally six patients had eye muscle dysfunction as reduced eye movements in up gaze. Therefore we recommend to make a routine ophthalmic examination in Hashimoto’s thyroiditis patients in order not to omit the associated ophthalmopathy.

关键词： Graves' ophthalmopathy Hashimoto's thyroiditis upper eyelid retraction thyroid-associated ophthalmopathy

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