Posterior conjunctival plication to correct secondary ptosis after eyelid retraction repair in Graves disease

Am J Otolaryngol. 2013 Sep-Oct;34(5):550-2. doi: 10.1016/j.amjoto.2013.03.015. Epub 2013 May 15.

Abstract

Purpose: To describe the results of posterior conjunctival plication for the treatment of secondary eyelid ptosis after eyelid retraction repair in Graves disease.

Methods: Case series. All patients were evaluated preoperatively by routine eye examination and eyelid measurements including Margin Reflex Distance 1 and levator function. Two eyes of 2 patients who presented with ptosis following eyelid retraction repair were corrected with posterior conjunctival plication.

Results: Posterior conjunctival plication for secondary ptosis following eyelid retraction repair was successful in 2 eyelids of 2 patients with Graves disease. Follow up period ranged from 6-10 months over which no sign of recurrent ptosis was observed.

Conclusions: Posterior conjunctival plication is an effective surgical technique for the correction of secondary ptosis following eyelid retraction repair in patients with Graves disease.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Blepharoplasty / methods*
  • Blepharoptosis / etiology
  • Blepharoptosis / surgery*
  • Conjunctiva / surgery*
  • Eyelids / surgery*
  • Female
  • Graves Disease / surgery*
  • Humans
  • Postoperative Complications / surgery*
  • Reoperation