Use of Hyaluronic Acid Gel in the Treatment of Lagophthalmos in Sunken Superior Sulcus Syndrome

Leyngold, Ilya; Berbos, Zachary; McCann, John D.; Pariseau, Brett; Leyngold, Ariel R.; Anderson, Richard L.

doi:10.1097/iop.0000000000000040

Cited by 19 publications

(19 citation statements)

References 12 publications

(14 reference statements)

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“…Cross-linked HA gel has been approved for soft tissue augmentation by the US Food and Drug Administration (FDA) since 2003 27. Multiple formulations with varying viscoelasticity and lift properties are used for different purposes.…”

Section: Resultsmentioning

confidence: 99%

Non-surgical treatment for eyelid retraction in thyroid eye disease (TED)

et al. 2017

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Thyroid eye disease (TED) is an autoimmune condition with an unpredictable course that may lead to permanent facial disfigurement. Eyelid retraction is one of the most common findings, and frequently demands attention due to ocular exposure and impaired cosmesis. Surgical treatment remains the most effective option, but there is a role for temporary corrections during the active phase of the disease, as well as in patients who are poor surgical candidates. The aim of this review is to describe the non-surgical modalities currently available for treatment of eyelid malposition in TED. The authors have focused on the use of hyaluronic acid, triamcinolone injections and botulinum toxin type A as non-surgical treatment alternatives, paying special attention to dosing, technique, efficacy and duration of effect. Non-surgical treatment modalities may represent viable in cases where surgical correction is not an option. Although temporary, these modalities appear to be beneficial for ocular exposure remediation, improving quality of life and broadening our therapeutic arsenal.

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Section: Resultsmentioning

confidence: 99%

Non-surgical treatment for eyelid retraction in thyroid eye disease (TED)

et al. 2017

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“…Leyngold et al . examined the effectiveness of injecting HA filler in patients with lagophthalmos with sunken superior sulcus in a prospective study.…”

Section: Resultsmentioning

confidence: 99%

“…Leyngold et al 9 examined the effectiveness of injecting HA filler in patients with lagophthalmos with sunken superior sulcus in a prospective study. Of the five patients included in the study, all had lagophthalmos with deep superior sulcus and keratopathy.…”

Section: Nonsurgical Volume Correction With Ha Filler Injectionmentioning

confidence: 99%

Rejuvenation of the deep superior sulcus in the eyelid

Moon

Ahn

Lee

et al. 2016

J of Cosmetic Dermatology

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“…Yip et al 36 have also postulated that a deep upper eyelid sulcus causes retraction of the orbicularis oculi muscle and upper eyelid skin into the sulcus, reducing orbicularis function and causing a relative skin shortage. The use of HA gel in patients with sunken superior sulci has been reported by Leyngold et al 14. Juvederm Ultra XC (Allergan, Irvine, California, USA) was injected in the superior sulcus deep to the orbital septum along the entire length of the sulcus in 10 eyelids from five patients.…”

Section: Indicationsmentioning

confidence: 94%

Non-aesthetic indications for periocular hyaluronic acid filler treatment: a review

2017

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Dermal fillers have been in use for many years for aesthetic rejuvenation of the face. More recently, however, fillers have been increasingly used as an alternative to traditional surgical procedures for non-aesthetic indications. These indications include lagophthalmos, eyelid malpositions and orbital volume deficiency. The advantages of these filler injections are multiple: minimally invasive, repeatable, titratable and even reversible (depending on the product used). We review the current literature of functional uses of filler injections as mentioned above and evaluate the safety profile and efficacy of filler injections for this purpose.

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Use of Hyaluronic Acid Gel in the Treatment of Lagophthalmos in Sunken Superior Sulcus Syndrome

Abstract: Management of lagophthalmos in SSSS with hyaluronic acid gel is an effective and safe alternative to surgery.

Cited by 19 publications

References 12 publications

Non-surgical treatment for eyelid retraction in thyroid eye disease (TED)

Non-surgical treatment for eyelid retraction in thyroid eye disease (TED)

Rejuvenation of the deep superior sulcus in the eyelid

Non-aesthetic indications for periocular hyaluronic acid filler treatment: a review

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