Sm. Tucker et R. Collin, REPAIR OF UPPER EYELID RETRACTION - A COMPARISON BETWEEN ADJUSTABLE AND NON-ADJUSTABLE SUTURES, British journal of ophthalmology, 79(7), 1995, pp. 658-660
Background-The challenge with the surgical repair of upper eyelid retr
action is to obtain a more predictable and satisfactory postoperative
eyelid contour and height, and to minimise the need for further surger
y. Methods-A retrospective analysis was performed on all patients trea
ted surgically for eyelid retraction at Moorfields Eye Hospital over a
13 year period. Results-In this study good postoperative results were
obtained in 10 of 13 (77%) eyelids using adjustable sutures, compared
with 56 of 148 (38%) eyelids using non-adjustable sutures (p<0.01). W
ith non-adjustable sutures, good results were achieved more often for
non-thyroid compared with thyroid related eyelid retraction (26/55 ver
sus 31/93 eyelids respectively, p<0.05). Previous eyelid surgery did n
ot affect outcome. Conclusion-We recommend the use of adjustable sutur
es for the repair of upper eyelid retraction, particularly in patients
with thyroid disease.