Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

Thyroid lid surgery

Abstract

A retrospective study of 58 thyroid patients undergoing eyelid surgery for thyroid related lid malposition is reported. A treatment strategy is suggested, based on the results of this experience.

The following points are stressed:

(1) The importance of recognising and relieving the inferior rectus tethering component of upper lid retraction when present.

(2) The usefulness of a scleral graft in lower lid retractor recession.

(3) The inadequacy of lateral tarsorrhaphy in relieving lid retraction but its value in camouflage.

References

  1. Shorr N and Seiff SR : The four stages of rehabilitation of the patient with dysthyroid ophthalmopathy. Ophthalmology 1986, 93: 476–83.

    CAS  Article  Google Scholar 

  2. Morax S and Pascal D : Surgical treatment of the sequelae of Basedow's ophthalmopathy. J Fr Ophtalmol 1985, 8: 227–37.

    CAS  PubMed  Google Scholar 

  3. Doxanas MT and Dryden RM : The use of sclera in the treatment of dysthyroid eyelid retraction. Ophthalmology 1981, 88: 887–94.

    CAS  Article  Google Scholar 

  4. Henderson JW : Relief of eyelid retraction. Arch Ophthalmol 1965, 74: 205–16.

    CAS  Article  Google Scholar 

  5. Dryden RM and Soll DB : The use of sclerai transplantation in cicatricial entropion and eyelid retraction. Trans Am Acad Ophthalmol Otolaryngol 1971, 83: 669–78.

    Google Scholar 

  6. Grove AS : Eyelid retraction treated by levator marginal myotomy. Ophthalmology 1980, 87: 1013–18.

    Article  Google Scholar 

  7. Lee OS : Operation for correction of everted lacrimal puncta. Am J Ophthalmol 1951, 34: 575.

    CAS  Article  Google Scholar 

  8. Putterman A and Urist M : Surgical treatment of upper lid retraction. Arch Ophthalmol 1972, 87: 401–5.

    CAS  Article  Google Scholar 

  9. Grove AS : Upper eyelid retraction and Graves’ disease. Ophthalmology 1981, 88: 499–506.

    Article  Google Scholar 

  10. Putterman AM : Surgical treatment of thyroid related upper eyelid retraction: Graded Müller's muscle excision and levator recession. Ophthalmology 1981, 88: 507–12.

    CAS  Article  Google Scholar 

  11. Harvey JT and Anderson RL : The aponeurotic approach to eyelid retraction. Ophthalmology 1981, 88: 513–24.

    CAS  Article  Google Scholar 

Download references

Author information

Affiliations

Authors

Additional information

Presented at the Oxford Ophthalmological Congress, July 1986.

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Thaller, V., Kaden, K., Lane, C. et al. Thyroid lid surgery. Eye 1, 609–614 (1987). https://doi.org/10.1038/eye.1987.94

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1038/eye.1987.94

Further reading

Search

Quick links