The results of surgical treatment to correct eyelid retraction with blepharotomy - preliminary report

• Authors: Radosław Różycki , Katarzyna Ulaszewska , Katarzyna Różycka , Alan Chamernik , Małgorzata Różycka , Piotr Nesterowicz

Abstracts

EN

The study presents early results of the surgical treatment of patients with fixed upper eyelid retraction exceeding 1 mm as a complication of Graves’ disease, trauma, or high myopia.
10 patients (8 women and 2 men), with an average age of 45, participated in the study. A total of 17 upper eyelids were operated on using the full-thickness blepharotomy method. According to the EUGOGO scale for the surgery 2 patients had mild retraction, 7 – moderate retraction, and 1 – severe retraction. The procedures were performed under local anesthesia, following current knowledge and described operative techniques.
Each operated patient achieved both aesthetic and functional improvement compared to the baseline. The results were evaluated based on the reduction of the upper eyelid relative to the corneal limbus, reaching a level covering the corneal limbus. The average satisfaction score obtained was 8 points in 0–10-point scale.
Blepharotomy is an effective therapeutic procedure for upper eyelid retraction, reducing eye exposure symptoms and restoring a normal appearance of the eyelids. The procedure has rare serious side effects, and patients are content with the results.

Keywords

EN

blepharotomy; eyelid retraction; orbitopathy; Graves' disease; ophthalmic surgery

• Publisher: Medical Education
• Journal: OphthaTherapy
• Year: 2024
• Volume: 11
• Issue: 1
• Pages: 77-83

Dates

published

2024

Contributors

author

Radosław Różycki

• Ophthalmology Clinic, Military Institute of Aviation Medicine, Warsaw
• “Orbita”, Medical Center in Warsaw

• https://orcid.org/000000017040026X

author

Katarzyna Ulaszewska

• “Orbita”, Medical Center in Warsaw

• https://orcid.org/0000000229414878

author

Katarzyna Różycka

• “Orbita”, Medical Center in Warsaw
• Faculty of Medicine, Lazarski University in Warsaw

• https://orcid.org/0009000041440588

author

Alan Chamernik

• “Orbita”, Medical Center in Warsaw

• https://orcid.org/000900090987084X

author

Małgorzata Różycka

• “Orbita”, Medical Center in Warsaw
• Faculty of Medicine, Lazarski University in Warsaw

• https://orcid.org/0009000136430948

author

Piotr Nesterowicz

• Faculty of Medicine, Lazarski University in Warsaw

• https://orcid.org/0009000919996956

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Identifiers

DOI

10.24292/01.OT.300324.3

Biblioteka Nauki

56311913