Beta
ManageSearchChatDiscover
9084

Evaluation of Graded Transcutaneous Levator Muscle Recession with Mullerectomy for Treatment of Upper Eyelid Retraction in Dysthyroid Patients

Article

Last updated: 24 Dec 2024

OverviewSimilar Items

Subjects

-

Tags

-

Abstract

Purpose: To evaluate the efficacy, advantages and disadvantages of graded transcutaneous levator muscle recession with mullerectomy for treatment of dysthyroid upper eyelid retraction.
Design: Randomized, prospective and interventional case series.
Methods: This prospective interventional case series comprised 20 eyes of ten patients. Inclusion criteria included patients with bilateral upper eyelid retraction, with or without other manifestations of thyroid orbitopathy, without diplopia and with stable thyroid state for at least 6 months. All patients were subjected to graded transcutaneous levator muscle recession with mullerectomy after full ophthalmological assessment. All patients included in the study have signed a written consent and the study has been approved by the ethical committee of AL-AZHAR faculty of medicine.
Results: Postoperatively the mean decrease of MRD1 was 2.87 mm. Mean improvement of lagophthalmos was 0.78 mm. Mean increase of upper lid crease height was 0.65mm. Good lid contour achieved in 85.9%. Temporal flare persisted in one lid (5%) and nasal ptosis was reported in two eye lids (10%).
Conclusion: According to this study graded transcutaneous mullerectomy with levator muscle recession is a good and a reliable surgical technique for correction of dysthyroid upper lid retraction and is successful as a lengthening procedure for retracted upper eyelid regardless the severity of retraction with significant symptomatic and cosmetic improvement.

DOI

10.21608/ejhm.2018.9084

Keywords

Mullerectomy, Upper eyelid retraction, Dysthyroid, Graded transcutaneous levator muscle recession, Levator lengthening

Authors

First Name

Ahmad H. and

Last Name

Abd Elmagid M. Tag Eldin

MiddleName

-

Affiliation

Ophthalmic Department, Faculty of Medicine, Al-Azhar University

Email

-

City

-

Orcid

-

Volume

72

Article Issue

2

Related Issue

1774

Issue Date

2018-07-01

Receive Date

2018-04-12

Publish Date

2018-07-01

Page Start

3,986

Page End

3,989

Print ISSN

1687-2002

Online ISSN

2090-7125

Article File

EJHM_Volume 72_Issue 2_Pages 3986-3989.pdf

PDF . 238.1kB

Link

https://ejhm.journals.ekb.eg/article_9084.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=9084

Order

20

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Evaluation of Graded Transcutaneous Levator Muscle Recession with Mullerectomy for Treatment of Upper Eyelid Retraction in Dysthyroid Patients

Details

Type

Article

Created At

22 Jan 2023