The treatment of eyelid retraction is one of the most challenging fields for the purpose of restoring the eyelid position and cosmetic appearance. Particularly, the lower eyelid retraction can be results iatrogenically from a number of previous surgeries.
When the surgical strategy of the reparative surgery for epiblepharon is planned, it is obvious to consider both the functional and cosmetic sequelae. There are numerous reports which introduced the new reparative surgery and their recurrence, however, none of them described the mechanism about how the surgical technique resulted in the lower eyelid retraction or detailed explanation how to repair this complication.
If the lower eyelid retractor resulted, following primary surgery for epiblepharon, it is the most important purpose some tissues should be filled in the defect between the tarsus and edge of the posterior layer of the lower eyelid retractors. In this case, the lengthening the posterior layer of the lower eyelid retractors with the small amount of auricular cartilage was accomplished functionally and cosmetically nice outcomes.
The lower eyelid retraction is excessive whiteness in the sclera between the lower corneal limbus and lower eyelid. In general, the common causative conditions are thyroid associated orbitopathy and complication after the reparative surgery for strabismus. How to Repair the Lower Eyelid Retraction, Resulting from the Primary Surgery for Epiblepharon?: Asamura Shinichi*, Matsushima S, Takahashi Y, Kakizaki H and Isogai N
Last date updated on June, 2014