Naik MN, Walvekar P, Vasanthapuram VH, Shankar L. Eyelid Surgery in Thyroid Eye Disease.
Ophthalmic Plast Reconstr Surg 2023;
39:S92-S104. [PMID:
38054989 DOI:
10.1097/iop.0000000000002543]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/07/2023]
Abstract
PURPOSE
To review and summarize a comprehensive synopsis of surgery of the eyelid in thyroid eye disease (TED).
METHODS
A PubMed search for specific eyelid manifestations of TED was performed. Studies reporting surgical management of these were reviewed, along with the author's own experience.
RESULTS
The most common eyelid manifestations of TED include eyelid retraction, blepharoptosis, entropion, and epiblepharon, with most of them requiring surgical intervention. The correction of eyelid retraction has received maximum attention, with several surgical techniques that have stood the test of time. Blepharoptosis in TED that requires surgical intervention is usually aponeurotic. Entropion and Epiblepharon are rare in TED, and may resolve spontaneously, or following orbital decompression.
CONCLUSIONS
Retraction is the commonest eyelid manifestation of TED, with multiple surgical options available for its correction. Blepharoptosis, entropion, and epiblepharon are rare eyelid findings in TED, that may occasionally require surgical correction.
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