[Two surgical methods to modify upper eyelid retraction with thyroid associated-ophthalmopathy].
OBJECTIVE
To evaluate the treatment effect of the two surgical methods for upper eyelid retraction with thyroid associated-ophthalmopathy.


METHODS
Twenty-two patients (32 eyes) with inactive thyroid associated-ophthalmopathy were divided into 2 groups (11 for each group) randomly. 11 patients (18 eyes) in the group A were treated by central tenotomy of levator aponeurosis. Another 11 patients (14 eyes) in the group B were treated by lengthening of Mullers' muscle combined with levator muscle. The treatment effect was investigated in 6-month follow-up study.


RESULTS
All of the patients were improved with the two surgical methods, which there was very significant difference before and after the treatments (P < 0.01), but not between the two surgical methods (P > 0.05) by statistical analysis. There was recurrent retracting in 4 patients (6 eyes) of group A and in 1 patient (1 eye) of group B, which there was significant difference between the two groups (P < 0.05) by Chi-square test. None of the patients was overcorrected.


CONCLUSIONS
The two methods are both effective and safe in correcting upper eyelid retraction. The rate of recurrent retracting is lower in lengthening of Mullers' muscle combined with levator muscle than that in central tenotomy of levator aponeurosis.
Dai
Xiao-qin
XQ
Department of Ophthalmology Zhejiang Province People's Hospital, Hangzhou 310014, China.
Ye
Ming-xia
MX
D019882:Blepharoplasty / Q000379:methods*; D005141:Eyelid Diseases / Q000209:etiology / Q000601:surgery*; D005260:Female; D049970:Graves Ophthalmopathy / Q000601:surgery*; D006801:Humans; D008297:Male; D009801:Oculomotor Muscles / Q000601:surgery