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Relief of Eyelid Retraction: A Surgical Procedure

Relief of Eyelid Retraction: A Surgical Procedure Abstract One of the more distressing components of the orbital and ocular changes that accompany Graves' disease is the alteration in the position of the eyelids, commonly termed "lid retraction." In the upper eyelids this retraction is probably due to some abnormality in the elevator muscles (most likely the levator palpebrae superioris). In the less frequent but sometimes definite retraction of the lower eyelids, the abnormality is probably located in the musculofascial connections between the tarsal plate and the sheath of the inferior rectus muscle. This lid retraction, whether it involves the upper or the lower eyelid, or both, is usually responsible for the "stare" that people with thyroid dysfunction so often exhibit. This widening of the palpebral fissures is not, as is sometimes loosely implied, a passive change brought about by the forward protrusion of the eye. When both true exophthalmos and lid retraction are present in the same individual, References 1. Berens, C., and King, J.H., Jr.: Atlas of Ophthalmic Surgery , Philadelphia: J. B. Lippincott Co., 1961. 2. Berens, C., and King, J.H., Jr., Atlas of Ophthalmic Surgery , Philadelphia: J. B. Lippincott Co., 1961, p 76. 3. Berens, C., and King, I.H., Jr., Atlas of Ophthalmic Surgery , Philadelphia: J. B. Lippincott Co., 1961, p 188. 4. Goldstein, I.: Recession of Levator Muscle for Lagophthalmos in Exophthalmic Goiter , Arch Ophthal 11:389-393 ( (March) ) 1934.Crossref 5. Moran, R.E.: Correction of Exophthalmos and Levator Spasm , Plast Reconstr Surg 18:411-426 ( (Dec) ) 1956.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Relief of Eyelid Retraction: A Surgical Procedure

Archives of Ophthalmology , Volume 74 (2) – Aug 1, 1965

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Publisher
American Medical Association
Copyright
Copyright © 1965 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1965.00970040207015
Publisher site
See Article on Publisher Site

Abstract

Abstract One of the more distressing components of the orbital and ocular changes that accompany Graves' disease is the alteration in the position of the eyelids, commonly termed "lid retraction." In the upper eyelids this retraction is probably due to some abnormality in the elevator muscles (most likely the levator palpebrae superioris). In the less frequent but sometimes definite retraction of the lower eyelids, the abnormality is probably located in the musculofascial connections between the tarsal plate and the sheath of the inferior rectus muscle. This lid retraction, whether it involves the upper or the lower eyelid, or both, is usually responsible for the "stare" that people with thyroid dysfunction so often exhibit. This widening of the palpebral fissures is not, as is sometimes loosely implied, a passive change brought about by the forward protrusion of the eye. When both true exophthalmos and lid retraction are present in the same individual, References 1. Berens, C., and King, J.H., Jr.: Atlas of Ophthalmic Surgery , Philadelphia: J. B. Lippincott Co., 1961. 2. Berens, C., and King, J.H., Jr., Atlas of Ophthalmic Surgery , Philadelphia: J. B. Lippincott Co., 1961, p 76. 3. Berens, C., and King, I.H., Jr., Atlas of Ophthalmic Surgery , Philadelphia: J. B. Lippincott Co., 1961, p 188. 4. Goldstein, I.: Recession of Levator Muscle for Lagophthalmos in Exophthalmic Goiter , Arch Ophthal 11:389-393 ( (March) ) 1934.Crossref 5. Moran, R.E.: Correction of Exophthalmos and Levator Spasm , Plast Reconstr Surg 18:411-426 ( (Dec) ) 1956.Crossref

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Aug 1, 1965

References