title: Treatment of dysthyroid lower lid retraction with autogenous tarsus transplants.
abstract: Lower lid retraction is commonly seen in dysthyroid orbitopathy. We have treated 55 lower lids in 38 patients with lower lid retraction by a tarsal transplant from the upper lid to the lower lid. An overall effect of 2-mm improvement +/- 0.7 mm occurred. Eighty-nine percent of the lids achieved the position of the lower lid within 1 mm of the limbus. We think that the upper to lower tarsal transplant offers a technically easy and reasonable solution to moderate lower lid retraction associated with dysthyroid orbitopathy.
authors.affiliation: Department of Ophthalmology, Allegheny General Hospital, Pittsburgh, Pennsylvania 15212.
authors.forename: T A
authors.initials: TA
authors.lastname: Gardner
authors.forename: J S
authors.initials: JS
authors.lastname: Kennerdell
authors.forename: G F
authors.initials: GF
authors.lastname: Buerger
mesh_terms: D000328:Adult; D000368:Aged; D003228:Conjunctiva / Q000601:surgery; D005141:Eyelid Diseases / Q000209:etiology / Q000601:surgery*; D005143:Eyelids / Q000637:transplantation*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013536:Suture Techniques; D013959:Thyroid Diseases / Q000150:complications*; D014182:Transplantation, Autologous; D016896:Treatment Outcome