Correction of Lower Eyelid Retraction Using Acellular Human Dermis During Orbital Decompression

Kim, Kang Yoon; Woo, Young Sup; Jang, Sun Young; Lee, Mi Kyung; Yoon, Jin Sook

doi:10.1097/iop.0000000000000683

Cited by 16 publications

(11 citation statements)

References 19 publications

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“…Attempts have been made to use biomaterials for clinical posterior lamellar reconstruction. ADM, derived from human (AlloDerm ® , BellaDerm ® ) [ 82 , 109 – 111 ], porcine (Endurage ® ) [ 112 – 114 ], or bovine (Surgimen ® ) [ 114 , 115 ] dermis, provides a convenient off-the-shelf alternative for tarsus substitutes due to its good histocompatibility and lower inflammation. They are flexible but sturdy flat sheets of cross-linked collagen matrixes with a basement membrane surface and a dermis surface.…”

Section: Discussion and Future Perspectivesmentioning

confidence: 99%

Surgical Strategies for Eyelid Defect Reconstruction: A Review on Principles and Techniques

Yan

et al. 2022

Ophthalmol Ther

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Reconstruction of eyelid defects, especially the posterior lamella, remains challenging because of its anatomical complexity, functional considerations, and aesthetic concerns. The goals of eyelid reconstruction include restoring eyelid structure and function and achieving an aesthetically acceptable appearance. An in-depth understanding of the complex eyelid anatomy and several reconstructive principles are mandatory to achieve these goals. Currently, there are multiple surgical treatment options for eyelid reconstruction, including different flaps, grafts, and combinations of them. This comprehensive review outlines the principles of reconstruction and discusses the indications, advantages, and disadvantages of currently available surgical techniques. We also propose our clinical thinking for solving specific clinical questions in eyelid reconstruction and offer perspectives on new potential methodologies in the future.

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Section: Discussion and Future Perspectivesmentioning

confidence: 99%

Surgical Strategies for Eyelid Defect Reconstruction: A Review on Principles and Techniques

Yan

et al. 2022

Ophthalmol Ther

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“…Recent study by Kim et al. 6 compared orbital decompression alone vs. simultaneous orbital decompression and lower eyelid retractors recession vs. simultaneous orbital decompression and lower eyelid surgery with Alloderm spacer graft placement, via swinging eyelid approach, and they also reported significantly improved lower eyelid position when lower eyelid retraction was corrected concurrent with orbital decompression, greater with graft placement.…”

Section: Discussionmentioning

confidence: 99%

“…Kim et al. 6 described correction of lower eyelid retraction using a cellular human dermis during orbital decompression, using swinging eyelid approach.…”

Section: Introductionmentioning

confidence: 99%

Combined orbital decompression and lower eyelid retraction surgery

Taban

2018

Journal of Current Ophthalmology

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PurposeOrbital decompression and lower eyelid retraction surgery are traditionally performed separately in staged fashion, which may be unnecessary. Herein, we evaluate the safety and efficacy of combined orbital decompression and lower eyelid retraction surgery.MethodsRetrospective analysis of patients undergoing combined orbital decompression and lower eyelid retraction surgery in patients with or without Graves orbitopathy, by one surgeon from 2016 to 2017. Patients with previous orbital or lower eyelid surgery were excluded. Surgical technique for orbital decompression included eyelid crease lateral-wall decompression, transconjunctival inferolateral-wall decompression, or transcaruncular medial-wall decompression, or combination. Surgical technique for lower eyelid retraction surgery described previously. Analysis included 34 surgeries (19 patients). Preoperative and postoperative photographs at longest follow-up visit were standardized and analyzed.ResultsEtiologies of lower eyelid retraction included thyroid eye disease (13 patients) and inherited (6 patients). Etiologies of proptosis included thyroid eye disease (13 patients) and inherited with shallow orbits and/or poor maxilla (6 patients). All 34 eyelids demonstrated improvement of lower eyelid position. The mean improvement of marginal reflex distance was 2.4 mm (range, 1.7–2.9 mm). There was one case of mild overcorrection and once case of prolonged chemosis. The average follow-up was 9 months (range, 6 months to 1 year).ConclusionsThis study demonstrates improvement of lower lid position in patients undergoing simultaneous orbital decompression and correction of lower eyelid retraction, irrespective of the etiology of lower eyelid retraction and proptosis or orbital decompression technique. Combined procedures may reduce the number of total procedures, patient anxiety, recovery time, and costs, without compromising the results.

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“…Mean improvements in MRD2, as well as postoperative improvement in the inferior scleral show, were significantly higher with the use of the AlloDerm. [ 74 ]…”

Section: Lower Eyelid Retractionmentioning

confidence: 99%

Management of eyelid retraction related to thyroid eye disease

Osaki¹,

Osaki²,

Monteiro³

2022

Taiwan J Ophthalmol

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Eyelid retraction related to thyroid eye disease (TED) is a challenging condition. It is one of the main clinical signs and a major diagnostic criterion in TED. This condition may threaten vision due to exposure keratopathy, in addition to its esthetic alterations, which may lead to psychosocial implications and affect the patient's quality of life. Although it is more commonly observed in the upper eyelid, it may be present on both the upper and lower lids. Numerous surgical and nonsurgical treatment modalities have been described and will be reviewed in this article. Management should be based on an individual patient assessment, taking into consideration the disease stage, severity, and clinician experience.

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Correction of Lower Eyelid Retraction Using Acellular Human Dermis During Orbital Decompression

Abstract: Simultaneous correction of lower eyelid retraction using thin AlloDerm during swinging eyelid orbital decompression maximizes improvement of lower eyelid retraction compared with concurrent inferior retractor recession.

Cited by 16 publications

References 19 publications

Surgical Strategies for Eyelid Defect Reconstruction: A Review on Principles and Techniques

Surgical Strategies for Eyelid Defect Reconstruction: A Review on Principles and Techniques

Combined orbital decompression and lower eyelid retraction surgery

Management of eyelid retraction related to thyroid eye disease

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