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Effect of double-fold surgery on spontaneous resolution of Graves' upper eyelid retraction
DC Field | Value | Language |
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dc.contributor.author | 윤진숙 | - |
dc.contributor.author | 김동규 | - |
dc.date.accessioned | 2016-02-04T11:55:10Z | - |
dc.date.available | 2016-02-04T11:55:10Z | - |
dc.date.issued | 2015 | - |
dc.identifier.issn | 0008-4182 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/141489 | - |
dc.description.abstract | OBJECTIVE: To investigate the effect of previous incisional double-fold surgery on spontaneous resolution of eyelid retraction caused by Graves orbitopathy (GO) in Asian individuals. DESIGN: Retrospective review of medical records. PARTICIPANTS: Patients (N = 30; 39 eyes) with eyelid retraction associated with GO with symptom duration of less than 6 months. METHODS: Patients who visited the Ophthalmology Department of Severance Hospital, Yonsei University, between January 2010 and December 2011, followed up for more than 6 months and in a euthyroid state with antithyroid drug treatment were included. Patients treated with steroids or who underwent surgery during follow-up were excluded. Upper scleral show was measured as the distance between the central upper lid margin and limbus at initial presentation and after 6 months. Comparative analysis was performed between the 2 groups delineated by history (n = 12; 16 eyes), or lack thereof (n = 18; 23 eyes), of incisional double-fold surgery before onset of GO symptoms and signs. RESULTS: Patient demographics and initial upper scleral show were not significantly different between groups. In both groups, upper scleral show significantly decreased at 6 months of follow-up (p < 0.001 in both groups); however, improvement of upper scleral show was significantly reduced in patients who had undergone previous double-fold surgery (0.8 ± 0.5 mm) than in nonsurgical patients (1.8 ± 0.5 mm; p < 0.001). CONCLUSIONS: Graves eyelid retraction resolves spontaneously over time, albeit not completely. Previous double-fold surgery hinders the degree of spontaneous resolution, probably because of the fibrosis and cicatrization between the skin, the subcutaneous layer, and the levator complex. | - |
dc.description.statementOfResponsibility | open | - |
dc.relation.isPartOf | CANADIAN JOURNAL OF OPHTHALMOLOGY-JOURNAL CANADIEN D OPHTALMOLOGIE | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Asian Continental Ancestry Group | - |
dc.subject.MESH | Blepharoplasty* | - |
dc.subject.MESH | Eyelid Diseases/physiopathology* | - |
dc.subject.MESH | Eyelid Diseases/surgery | - |
dc.subject.MESH | Eyelids/surgery | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Graves Ophthalmopathy/physiopathology* | - |
dc.subject.MESH | Graves Ophthalmopathy/surgery | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Remission, Spontaneous | - |
dc.subject.MESH | Retrospective Studies | - |
dc.title | Effect of double-fold surgery on spontaneous resolution of Graves' upper eyelid retraction | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Ophthalmology (안과학) | - |
dc.contributor.googleauthor | Dong Kyu Kim | - |
dc.contributor.googleauthor | Moonjung Choi | - |
dc.contributor.googleauthor | Jin Sook Yoon | - |
dc.identifier.doi | 10.1016/j.jcjo.2014.08.012 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A02611 | - |
dc.relation.journalcode | J00431 | - |
dc.identifier.eissn | 1715-3360 | - |
dc.identifier.pmid | 25677283 | - |
dc.identifier.url | http://www.sciencedirect.com/science/article/pii/S0008418214002920 | - |
dc.contributor.alternativeName | Yoon, Jin Sook | - |
dc.contributor.alternativeName | Kim, Dong Kyu | - |
dc.contributor.affiliatedAuthor | Yoon, Jin Sook | - |
dc.contributor.affiliatedAuthor | Kim, Dong Kyu | - |
dc.rights.accessRights | not free | - |
dc.citation.volume | 50 | - |
dc.citation.number | 1 | - |
dc.citation.startPage | 49 | - |
dc.citation.endPage | 53 | - |
dc.identifier.bibliographicCitation | CANADIAN JOURNAL OF OPHTHALMOLOGY-JOURNAL CANADIEN D OPHTALMOLOGIE, Vol.50(1) : 49-53, 2015 | - |
dc.identifier.rimsid | 30678 | - |
dc.type.rims | ART | - |
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