Limbal relaxing incisions and Graves ophthalmopathy with lower eyelid retraction.
Limbal relaxing incisions (LRI) were performed in a 35-year-old man with Graves ophthalmopathy and lower eyelid retraction. He underwent intraocular lens exchange in 1 eye and cataract surgery in the other. Despite the return of normal thyroid function, aggressive lubrication, and antiinflammatory medication, the LRIs failed to heal, leaving gaps in the limbal cornea. Limbal relaxing incisions should be avoided in Graves ophthalmopathy with lower eyelid retraction and/or exposure keratopathy.
Yu
Ellen N
EN
Asian Eye Institute, 9F Phinma Plaza Building, Rockwell Center, Makati City, Philippines.
Uy
Harvey S
HS
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D001251:Astigmatism / Q000209:etiology / Q000601:surgery*; D019573:Epithelium, Corneal / Q000187:drug effects / Q000473:pathology; D005094:Exophthalmos / Q000150:complications; D005141:Eyelid Diseases / Q000150:complications*; D019793:Fluorescein; D015590:Fluorophotometry; D007839:Functional Laterality; D049970:Graves Ophthalmopathy / Q000150:complications*; D006801:Humans; D019654:Lens Implantation, Intraocular; D016850:Limbus Corneae / Q000601:surgery*; D054327:Lubricants / Q000627:therapeutic use; D008297:Male; D011183:Postoperative Complications; D012086:Reoperation; D014945:Wound Healing
D000900:Anti-Bacterial Agents; D000893:Anti-Inflammatory Agents; D054327:Lubricants; D019793:Fluorescein