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• W2077981640 abstract "In Brief Purpose: To report the outcomes of a technique for correcting lower-eyelid retraction with composite recession of the inferior retractor and orbital septum complex, release of the lateral horn of the lower-eyelid retractors, and the orbito-malar ligament (OML) followed by skin, orbicularis, and conjunctival advancement. Methods: We performed a retrospective, noncomparative review of consecutive procedures performed on patients with lower-eyelid retraction undergoing composite septo-retractor recession for lower-eyelid retraction over a 4-year period, performed or supervised by a single surgeon (RM). Outcomes are based on postoperative standard photographs, including central pupil to lower-eyelid distance, inferior scleral show, and subjective improvement in lower-eyelid lateral flare. Results: We reviewed 26 eyes of 16 patients (12 men, 4 women; mean age, 61.0 ± 14.3 years). Causes of lower-eyelid retraction included involutional (n = 6), thyroid orbitopathy (n = 4), previous lower-eyelid surgery (n = 3), mechanical secondary to proptosis (n = 1), Crouzon syndrome (n = 1), and longstanding facial nerve palsy (n = 1). Mean lower-eyelid elevation achieved was 1.4 mm ± 1.3 mm (range, 0.2 to 6.6 mm; p = 0.001). Scleral show improved by 1.0 ± 0.7 mm (range, 0.0 to 2.9; p = <0.001). Preoperatively, all patients had an altered lower-eyelid contour with lateral flare, 89% cases being graded “significant.” Lower-eyelid contour improved postoperatively, with only 19% graded “significant” lateral flare (p = <0.0001). No significant complications occurred, although one patient required excision of a secondary lateral canthal cyst. Conclusion: Composite recession of the inferior retractor and orbital septum complex combined with release of the inferior retractor lateral horn and the OML significantly improves lower-eyelid height and contour in cases of lower-eyelid retraction and should be considered a useful option for this condition. In cases of mild to moderate lower-eyelid retraction, composite recession of the inferior retractors and septum combined with release of the inferior retractor lateral horn and orbito-malar ligament improves lower-eyelid height and contour." @default.
• W2077981640 created "2016-06-24" @default.
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• W2077981640 date "2011-11-01" @default.
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• W2077981640 title "Composite Septo-Retractor Recession; A Surgical Technique for Lower-Eyelid Retraction and Review of the Literature" @default.
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• W2077981640 doi "https://doi.org/10.1097/iop.0b013e3182286962" @default.
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