| Autor: |
Victor B. Lopez, MD, Maria Elizabeth T. Concepcion, MD |
| Jazyk: |
angličtina |
| Rok vydání: |
2005 |
| Předmět: |
|
| Zdroj: |
Philippine Journal of Ophthalmology, Vol 30, Iss 1, Pp 12-16 (2005) |
| Druh dokumentu: |
article |
| ISSN: |
0031-7659 |
| Popis: |
Objective: To describe a surgical procedure for the relief of mild to moderate upper-eyelid retraction secondary to Graves’ ophthalmopathy using a graded, controlled recession of Muller muscle without recession of the levator aponeurosis. Methods: Medical records of patients with mild to moderate upper-eyelid retraction secondary to Graves’ ophthalmopathy who underwent Muller-muscle recession were reviewed. Five female patients 40 to 48 years of age were included. All were biochemically and clinically euthyroid for at least 6 months before the surgery. Patients had neither fibrosis nor exophthalmos. The outcome was evaluated 2 weeks after the operation by measuring the eyelid aperture and corneal light reflex to upper-lid-margin distance (MRD1) in the primary position. Patients were assessed to have upper-eyelid retraction when the MRD1 is > 4. Corneal staining was assessed. Pre- and postoperative photographs were compared. The outcome was classified as good, acceptable, or unacceptable. The result was deemed stable if measurements remained unchanged during follow-up. Results: Seven upper eyelids (of 5 patients) were corrected using Muller-muscle recession only. The procedure yielded good results in 2 cases of bilateral upper-eyelid retraction (MRD1 4.5 to 8 mm). For three patients who had unilateral upper-eyelid retraction (MRD1 4 to 8 mm), the results were good in 2 cases and acceptable in 1. Conclusion: Muller-muscle recession is an effective means of relieving mild to moderate upper-eyelid retraction in patients with Graves’ ophthalmopathy before fibrosis sets in. |
| Databáze: |
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| Externí odkaz: |
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