›› 2017, Vol. 37 ›› Issue (6): 764-.doi: 10.3969/j.issn.1674-8115.2017.06.009

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Modified levator lengthening for thyroid-associated ophthalmopathy related upper eyelid retraction

SUN Jing*, ZHANG Yi-dan*, LIU Xing-tong, ZHONG Si-si, WANG Yang, ZHOU Hui-fang#, FAN Xian-qun#   

  1. Department of Ophthalmology, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China
  • Online:2017-06-28 Published:2017-07-05
  • Supported by:

    National Natural Science Foundation of China, 81300799; Key Project of Basic Research in Shanghai, 12JC1403800; Shanghai Municipal Education Commission–Gaofeng Clinical Medicine Grant Support (20152228); Shanghai College Young Teacher Cultivation Program, ZZjdyx13122


Objective · To improve the surgical procedure of correcting upper eyelid retraction.  Methods · Patients suffering upper eyelid retraction of 2-5 mm caused by thyroid-associated ophthalmopathy were treated with modified levator lengthening technique in Shanghai Ninth People’s Hospital (Shanghai Jiao Tong University School of Medicine, China) from July 2013 to December 2014.  Results · Of the 34 patients underwent the modified levator lengthening surgery for upper eyelid retraction correction, there were 7 males and 27 females. After 6 months, upper eyelid retraction got fully resolved in 25 cases and partly improved in 9 cases. The palpebral fissure height demonstrated an average decrease of 3.7 mm (P=0.000). Patient’s ocular discomfort such as photophobia and tearing were either cured or improved.  Conclusion · Modified levator lengthening surgery can effectively correct upper eyelid retraction, improve the patient's appearance and cure their ocular discomfort.

Key words:  thyroid-associated ophthalmopathy, upper eyelid retraction, levator lengthening