Department of Ophthalmology, Division of Ophthalmic Plastic and Reconstructive Surgery, Edward S. Harkness Eye Institute, Columbia College of Physicians and Surgeons, New York, New York, USA.
Ophthalmic Plast Reconstr Surg. 2013 Jan-Feb;29(1):44-7. doi: 10.1097/IOP.0b013e318275b5e2.
Upper eyelid retraction is the most common sign of thyroid eye disease (TED). The results of traditional surgical procedures to correct upper eyelid retraction have been limited by unreliable postoperative eyelid height and contour. We investigate the outcome of the surgical correction of upper eyelid retraction using a modification of the full-thickness blepharotomy technique initially described by Elner et al.
Fifty-three patients (78 eyelids) underwent a modified full-thickness blepharotomy.
Symmetry (within 1 mm) was achieved in 40 patients (75.5%) and symmetry (within 2 mm) was achieved in 43 cases (81.1%). Of the 53 patients, 8 (15.1%) required reoperation.
Our surgical approach can be performed efficiently and produces predictably satisfactory eyelid height even in severely retracted eyelids.
上睑退缩是甲状腺眼病（TED）最常见的体征。传统的手术方法矫正上睑退缩的效果受到术后眼睑高度和轮廓不可靠的限制。我们通过对 Elner 等人最初描述的全层睑切开术的改良来研究上睑退缩的手术矫正效果。
53 例患者（78 只眼）接受了改良的全层睑切开术。
40 例患者（75.5%）达到了对称性（相差 1mm 以内），43 例患者（81.1%）达到了对称性（相差 2mm 以内）。53 例患者中，8 例（15.1%）需要再次手术。
我们的手术方法可以有效地进行，即使是严重退缩的眼睑，也能产生可预测的令人满意的眼睑高度。
