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Surgical Treatment of Upper Eyelid Retraction

Surgical Treatment of Upper Eyelid Retraction Abstract Two new surgical procedures are presented for the treatment of upper eyelid retraction. These use a sensory nerve block so that the patients are awake and able to move their eyelids, thereby allowing the surgeon to make controlled adjustments for the amount of surgery to be done. One procedure, excision of Müller's muscle, was done on three lids that had overaction of Müller's muscle alone. The other, a combined procedure of excision of Müller's muscle and partial tenotomy of the levator aponeurosis, was done on four lids that had overaction of both Müller's and levator muscles. The results in all the cases were good in comparison with the results the authors obtained using other surgical techniques described for treating upper lid retraction. References 1. Berens C, King JH Jr: Atlas of Ophthalmic Surgery . Philadelphia, JP Lippincott Co, 1961, p 76. 2. Goldstein J: Recession of the levator muscle for lagophthalmos in exophthalmic goiter . Arch Ophthal 11:389-393, 1934.Crossref 3. Henderson JW: Relief of eyelid retraction: A surgical procedure . Arch Ophthal 74:205-216, 1965.Crossref 4. Hildreth HR, Silver B: Sensory block of the upper eyelid . Arch Ophthal 77:230-231, 1967.Crossref 5. Wolf E: The Anatomy of the Eye and the Orbit . Philadelphia, Blakiston Co, 1933. 6. Gay J, Salmon M, Wolkstein MA: Topical sympatholytic therapy for pathologic lid retraction . Arch Ophthal 77:341-344, 1967.Crossref 7. Bowden AN, Rose FC: Dysthyroid eye disease . Brit J Ophthal 53:246-251, 1969.Crossref 8. Ikkos D, Petrochilas M, Diamastopaulos K: The effect of local administration of guanethidine sulfate (Ismelin) on thyroid ophthalmopathy . Ann Ophthal 5:49-58, 1968. 9. Duke-Elder S: System of Ophthalmology. London, Henry Kimpton, 1971, vol 12, p 910. 10. Jampolsky A: Electromyography and the ophthalmologist . Invest Ophthal 9:570, 1970. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Surgical Treatment of Upper Eyelid Retraction

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Publisher
American Medical Association
Copyright
Copyright © 1972 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1972.01000020403007
Publisher site
See Article on Publisher Site

Abstract

Abstract Two new surgical procedures are presented for the treatment of upper eyelid retraction. These use a sensory nerve block so that the patients are awake and able to move their eyelids, thereby allowing the surgeon to make controlled adjustments for the amount of surgery to be done. One procedure, excision of Müller's muscle, was done on three lids that had overaction of Müller's muscle alone. The other, a combined procedure of excision of Müller's muscle and partial tenotomy of the levator aponeurosis, was done on four lids that had overaction of both Müller's and levator muscles. The results in all the cases were good in comparison with the results the authors obtained using other surgical techniques described for treating upper lid retraction. References 1. Berens C, King JH Jr: Atlas of Ophthalmic Surgery . Philadelphia, JP Lippincott Co, 1961, p 76. 2. Goldstein J: Recession of the levator muscle for lagophthalmos in exophthalmic goiter . Arch Ophthal 11:389-393, 1934.Crossref 3. Henderson JW: Relief of eyelid retraction: A surgical procedure . Arch Ophthal 74:205-216, 1965.Crossref 4. Hildreth HR, Silver B: Sensory block of the upper eyelid . Arch Ophthal 77:230-231, 1967.Crossref 5. Wolf E: The Anatomy of the Eye and the Orbit . Philadelphia, Blakiston Co, 1933. 6. Gay J, Salmon M, Wolkstein MA: Topical sympatholytic therapy for pathologic lid retraction . Arch Ophthal 77:341-344, 1967.Crossref 7. Bowden AN, Rose FC: Dysthyroid eye disease . Brit J Ophthal 53:246-251, 1969.Crossref 8. Ikkos D, Petrochilas M, Diamastopaulos K: The effect of local administration of guanethidine sulfate (Ismelin) on thyroid ophthalmopathy . Ann Ophthal 5:49-58, 1968. 9. Duke-Elder S: System of Ophthalmology. London, Henry Kimpton, 1971, vol 12, p 910. 10. Jampolsky A: Electromyography and the ophthalmologist . Invest Ophthal 9:570, 1970.

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Apr 1, 1972

References