A retrospective study of 58 thyroid patients undergoing eyelid surgery for thyroid related lid malposition is reported. A treatment strategy is suggested, based on the results of this experience. The following points are stressed: (1) The importance of recognising and relieving the inferior rectus tethering component of upper lid retraction when present. (2) The usefulness of a scleral graft in lower lid retractor recession. (3) The inadequacy of lateral tarsorrhaphy in relieving lid retraction but its value in camouflage.
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Article Synopsis
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- - A total of 89 IR recessions were reviewed, showing that those involving CLERR resulted in a greater recession (4.6 mm) and less scleral show (0.2 mm) compared to surgeries without CLERR (3.2 mm and 0.7 mm, respectively).
- - CLERR is noted as a quick and effective technique that minimizes lower eyelid retraction, making it a valuable method for strabismus surgeons, with minimal complications and quick
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