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Effect of double-fold surgery on spontaneous resolution of Graves' upper eyelid retraction

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dc.contributor.author윤진숙-
dc.contributor.author김동규-
dc.date.accessioned2016-02-04T11:55:10Z-
dc.date.available2016-02-04T11:55:10Z-
dc.date.issued2015-
dc.identifier.issn0008-4182-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/141489-
dc.description.abstractOBJECTIVE: 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.statementOfResponsibilityopen-
dc.relation.isPartOfCANADIAN JOURNAL OF OPHTHALMOLOGY-JOURNAL CANADIEN D OPHTALMOLOGIE-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHAsian Continental Ancestry Group-
dc.subject.MESHBlepharoplasty*-
dc.subject.MESHEyelid Diseases/physiopathology*-
dc.subject.MESHEyelid Diseases/surgery-
dc.subject.MESHEyelids/surgery-
dc.subject.MESHFemale-
dc.subject.MESHGraves Ophthalmopathy/physiopathology*-
dc.subject.MESHGraves Ophthalmopathy/surgery-
dc.subject.MESHHumans-
dc.subject.MESHMale-
dc.subject.MESHRemission, Spontaneous-
dc.subject.MESHRetrospective Studies-
dc.titleEffect of double-fold surgery on spontaneous resolution of Graves' upper eyelid retraction-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Ophthalmology (안과학)-
dc.contributor.googleauthorDong Kyu Kim-
dc.contributor.googleauthorMoonjung Choi-
dc.contributor.googleauthorJin Sook Yoon-
dc.identifier.doi10.1016/j.jcjo.2014.08.012-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA02611-
dc.relation.journalcodeJ00431-
dc.identifier.eissn1715-3360-
dc.identifier.pmid25677283-
dc.identifier.urlhttp://www.sciencedirect.com/science/article/pii/S0008418214002920-
dc.contributor.alternativeNameYoon, Jin Sook-
dc.contributor.alternativeNameKim, Dong Kyu-
dc.contributor.affiliatedAuthorYoon, Jin Sook-
dc.contributor.affiliatedAuthorKim, Dong Kyu-
dc.rights.accessRightsnot free-
dc.citation.volume50-
dc.citation.number1-
dc.citation.startPage49-
dc.citation.endPage53-
dc.identifier.bibliographicCitationCANADIAN JOURNAL OF OPHTHALMOLOGY-JOURNAL CANADIEN D OPHTALMOLOGIE, Vol.50(1) : 49-53, 2015-
dc.identifier.rimsid30678-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Ophthalmology (안과학교실) > 1. Journal Papers

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