The Use of Sclera in the Treatment of Dysthyroid Eyelid Retraction

Doxanas, Marcos T.; Dryden, Robert M.

doi:10.1016/s0161-6420(81)80002-4

Cited by 75 publications

(23 citation statements)

References 17 publications

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“…I prefer to suture the aponeurosis as has been described by Harvey and Anderson (37), but others leave the tissues to heal (38,39). Some authors advocate the use of spacers (40,41), whereas I have never found it necessary. However, in the lower lid, the most efficient method is probably a recession of the lid retractors followed by insertion of a spacer (41,42).…”

Section: Eyelid Surgerymentioning

confidence: 99%

Surgical Treatment of Thyroid Eye Disease

Tallstedt¹

1998

Thyroid

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Thyroid eye disease may result in exophthalmos, diplopia, and eyelid malpositions, which can be corrected with different surgical procedures. Several techniques for decompressing the orbit have been described, and the advantages and disadvantages of the techniques are discussed. Our own results of the transantral approach are briefly summarized. Eye muscle surgery should be performed after an orbital decompression, and it is not unlikely that more than one muscle operation will be needed in order to achieve single vision. A number of operative procedures for eyelid surgery have been described, and the results of the various methods are generally good.

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Section: Eyelid Surgerymentioning

confidence: 99%

Surgical Treatment of Thyroid Eye Disease

Tallstedt¹

1998

Thyroid

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“…37 39 or with an anterior approach (levator recession 40 or myotomy), with or without a spacer material like sclera, fascia or treated dermis, may be required. [41][42][43][44] The disadvantage with a posterior approach is the postoperative raising of the skin crease. The success of the anterior approach can be augmented with the use of adjustable sutures.…”

Section: Permanent Treatmentmentioning

confidence: 99%

Ophthalmic management of facial nerve palsy

Lee

Currie

Collin

2004

Eye

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The ophthalmologist plays a pivotal role in the evaluation and rehabilitation of patients with facial nerve palsy. It is crucial to recognize and treat the potentially life-threatening underlying causes. The immediate ophthalmic priority is to ensure adequate corneal protection. The medium to long-term management consists of treatment of epiphora, hyperkinetic disorders secondary to aberrant regeneration and poor cosmesis. Patients should be appropriately referred for general facial re-animation. This review aims to provide a guide to the management of this complex condition.

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“…The goals can be reached in various ways and a number of sur gical procedures have been described. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15] Some are more easily performed than others or are better suited to a certain objective.…”

Section: Operative Proceduresmentioning

confidence: 99%

Eyelid surgery in dysthyroid ophthalmopathy

Hedin

1988

Eye

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SummaryDysthyroid ophthalmopathy often gives rise to functional and cosmetic problems due to eyelid retraction. There are several causes of this state which are usually most obvious in the upper lid. Surgery should be delayed until the condition is stable and other operations have been done. A number of operative procedures have been used.In the upper eyelid, the traction of the Muller muscle and, most often, the levator is released; in the lower eyelid, the retractors are recessed or excised. Spacers have been used especially in the lower lid.The retractors can be reached either through the skin or the conjunctiva. Both methods give good results. In the upper lid, the risk of damaging other structures is lower with a skin incision; in the lower lid the conjunctival incision gives easier access to the tissues. The complications most frequently seen are over-or undercorrection both of which may necessitate a reoperation.

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The Use of Sclera in the Treatment of Dysthyroid Eyelid Retraction

Cited by 75 publications

References 17 publications

Surgical Treatment of Thyroid Eye Disease

Surgical Treatment of Thyroid Eye Disease

Ophthalmic management of facial nerve palsy

Eyelid surgery in dysthyroid ophthalmopathy

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