Frueh B R, Musch D C, Garber F W
Ophthalmic Surg. 1986 Apr;17(4):216-20.
Vertical palpebral fissure determinants and lid crease height were measured in patients with Graves' eye disease (GED) and in normal subjects. The fissure and crease height are positively correlated with exophthalmometer readings in each group. Compensatory levator aponeurosis defects are shown to occur in patients with GED. These, along with the effect of exophthalmos on the lower lid position, the observation that the lower lid is closer to the inferior limbus than the upper lid is to the superior limbus in normal subjects, and the effect of contracture of the inferior rectus on the lower lid position, explain why inferior scleral show is found to be greater than superior scleral show in patients with GED. Thus, lid retractor surgery in GED patients should be performed only after the palpebral fissure, levator function, and lid crease height stabilize, and after any contemplated surgery that would alter the exophthalmos and extraocular muscles has been performed.
对格雷夫斯眼病（GED）患者和正常受试者测量了垂直睑裂决定因素和睑裂高度。在每组中，睑裂和睑裂高度与眼球突出计读数呈正相关。结果显示，GED患者存在代偿性提上睑肌腱膜缺损。这些因素，连同眼球突出对下睑位置的影响、正常受试者中下睑比上睑更靠近下角膜缘的观察结果以及下直肌挛缩对下睑位置的影响，解释了为什么在GED患者中发现下巩膜暴露大于上巩膜暴露。因此，GED患者的眼睑退缩手术应仅在睑裂、提上睑肌功能和睑裂高度稳定后，以及在任何考虑进行的会改变眼球突出和眼外肌的手术完成后进行。
