PMID- 31162982
OWN - NLM
STAT- MEDLINE
DCOM- 20210104
LR  - 20210104
IS  - 1744-5108 (Electronic)
IS  - 0167-6830 (Linking)
VI  - 39
IP  - 2
DP  - 2020 Apr
TI  - Contralateral Mueller's muscle-conjunctiva resection: a therapeutic option in 
      thyroid eye disease patients with unilateral eyelid retraction.
PG  - 98-101
LID - 10.1080/01676830.2019.1619184 [doi]
AB  - Purpose: To evaluate pre- and post-operative marginal reflex distance 1 (MRD1) 
      when conducting Mueller's muscle-conjunctiva resection (MMCR) on the normal 
      eyelid of thyroid eye disease (TED) patients with unilateral eyelid 
      retraction.Methods: This was a retrospective non-comparative case series. Medical 
      records of TED patients with unilateral eyelid retraction, who underwent a 
      contralateral MMCR from November 2015 to September 2017, were reviewed. Standard 
      photographs of pre-operative, post-phenylephrine test and post-operative were 
      measured for eyelid positions including MRD1, MRD2 and inter-palpebral fissure 
      width. MMCR was indicated on the contralateral eyelid only in patients who had a 
      cosmetically acceptable result from phenylephrine test and were willing to 
      receive the operation on the normal eye.Results: Twelve TED patients who 
      underwent MMCR on the normal eyelid were included in the study. Mean 
      pre-operative MRD1 of retracted and normal eyelid were 5.7 mm (SD = 0.86) and 3.5 
      mm (SD = 0.65), respectively. Mean post-operative MRD1 of retracted and normal 
      eyelid were 4.4 mm (SD = 0.76) and 4.1 mm (SD = 0.46), respectively. The 
      asymmetry of MRD1 between eyes was significantly decreased from 2.1 mm 
      (inter-quartile range (IQR) = 1.5-2.9 mm) pre-operatively to 0.3 mm (IQR = 
      0.1-0.7 mm) post-operatively (p = .002). None of these patients needed further 
      eyelid correction surgery and there was no complication.Conclusions: In TED 
      patients with unilateral eyelid retraction, using phenylephrine test on their 
      normal eyes should be initiated. If eyelid position was satisfactorily equalized, 
      performing MMCR on the normal eyelid is considered an effective alternative 
      treatment with a predictable outcome.
FAU - Saonanon, Preamjit
AU  - Saonanon P
AUID- ORCID: 0000-0001-8033-0066
AD  - Department of Ophthalmology, Faculty of Medicine, King Chulalongkorn Memorial 
      Hospital, The Thai Red Cross Society, Chulalongkorn University, Bangkok, 
      Thailand.
FAU - Potita, Panida
AU  - Potita P
AD  - Department of Ophthalmology, Faculty of Medicine, King Chulalongkorn Memorial 
      Hospital, The Thai Red Cross Society, Chulalongkorn University, Bangkok, 
      Thailand.
LA  - eng
PT  - Journal Article
PT  - Video-Audio Media
DEP - 20190604
PL  - England
TA  - Orbit
JT  - Orbit (Amsterdam, Netherlands)
JID - 8301221
SB  - IM
MH  - Adult
MH  - Blepharoplasty/*methods
MH  - Conjunctiva/*surgery
MH  - Eyelid Diseases/*surgery
MH  - Female
MH  - Graves Ophthalmopathy/*surgery
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Oculomotor Muscles/*surgery
MH  - Retrospective Studies
OTO - NOTNLM
OT  - Eyelid retraction
OT  - Hering's phenomenon
OT  - Mueller's muscle-conjunctiva resection
OT  - marginal reflex distance
OT  - phenylephrine test
OT  - thyroid eye disease
EDAT- 2019/06/05 06:00
MHDA- 2021/01/05 06:00
CRDT- 2019/06/05 06:00
PHST- 2019/06/05 06:00 [pubmed]
PHST- 2021/01/05 06:00 [medline]
PHST- 2019/06/05 06:00 [entrez]
AID - 10.1080/01676830.2019.1619184 [doi]
PST - ppublish
SO  - Orbit. 2020 Apr;39(2):98-101. doi: 10.1080/01676830.2019.1619184. Epub 2019 Jun 
      4.