Blepharoplaty for Upper Eyelid Retraction
Overview
Upper eyelid retraction is the abnormal elevation of the upper eyelid margin. Most common cause of upper eyelid retraction is thyroid eye disease. It may be unilateral or bilateral, and may lead to dry eyes, secondary epiphora, irritation, lagophthalmos, exposure keratopathy, and cosmetic deformity.
Features
To reduce the symptoms of upper lid retraction (dry eyes, secondary epiphora, irritation, lagophthalmos, exposure keratopathy…) and improve the cosmetic deformity.
Procedure
Graded full-thickness blepharotomy: After local anaesthesia, a lid crease incision is created, followed by dissection through orbicularis muscle and septum. Levator aponeurosis, muller muscle (both responsible for lifting the upper eyelid) and conjunctiva are incised just superior to the tarsal plate. The incision is extended in a full-thickness fashion, nasally and temporally, with preserving a central pedicle, to produce the desired lid height and contour.
Notification
Risks & complications
Under or over over-correction, higher lid crease, recurrence, etc.
At times, orbital decompression may be necessary as an initial step (prior to this oculoplastic surgery) if big eyeballs or bulging eyes (marked proptosis) are present.
Before
After
Estimated Cost
For estimated medical costs, please contact International Medical Services Center.