Posttraumatische Oberlidretraktion

Abstract

Three unusual cases of posttraumatic upper eyelid retraction are described. They were observed following orbital trauma without apparent involvement of the superior rectus muscle after latency periods ranging from several months to years. As other reasons for the lid retraction were ruled out the question arises as to whether peripheral neurogenic or muscular upper eyelid retraction must be assumed to be a consequence of trauma, although this has never been described before.

Hallermann–Streiff syndrome with severe bilateral enophthalmos and radiological evidence of silent brain syndrome: a new congenital silent brain syndrome?

“…Upper eyelid retraction is an ophthalmological condition most frequently associated with Graves ophthalmopathy 14. Other published reports describe upper eyelid retraction associated with blow-out fracture of the orbit,15–17 following periorbital contusion without fracture,18 after ocular surgery,19 in patients with neurogenic disease20 and associated with contralateral blepharoptosis 21. Cruz et al reported two cases of unilateral upper eyelid cicatricial retraction in patients with encephalocraniocutaneous lipomatosis.…”

Upper Eyelid Retraction After Periorbital Trauma

“…For that reason, upper eyelid retraction is a paradoxical response. There are few reports on posttraumatic upper eyelid retraction with latency periods ranging from several months to years 4-6. Putterman et al4 reported upper eyelid retraction after a blow-out fracture, and hypothesized that lid retraction occurs secondary to overaction of Müller's muscle.…”

“…In contrast, Conway5 reported upper eyelid retraction following a blow-out fracture of the orbit with enophthalmos and postulated that this was due to traction on the connective tissue sheath of the levator palpebrae muscle through its connective tissue interconnections with other extraocular muscles. Hatt6 also described three cases of posttraumatic upper eyelid retraction without apparent involvement of the superior rectus muscle after latency periods ranging from several months to years; however, he was uncommitted regarding the mechanism of eyelid retraction.…”

“…Case 2 especially differs from those previously described as there was no fracture or latency period. Conway5 reported lid retraction 2 months after a blow-out fracture and Hatt6 stated that it took several months to years before lid retraction occurs following periorbital trauma. In our study, it took one to two months to show lid retraction after trauma in the first and fourth cases, but retraction was immediate in cases 2 and 3.…”