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#
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  • Department of Ophthalmology, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China

Online 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

Abstract

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.

Cite this article

SUN Jing* , ZHANG Yi-dan* , LIU Xing-tong , ZHONG Si-si , WANG Yang , ZHOU Hui-fang# , FAN Xian-qun# . Modified levator lengthening for thyroid-associated ophthalmopathy related upper eyelid retraction[J]. Journal of Shanghai Jiao Tong University (Medical Science), 2017 , 37(6) : 764 . DOI: 10.3969/j.issn.1674-8115.2017.06.009

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