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Correction of Lower Eyelid Retraction Using Acellular Human Dermis During Orbital Decompression

 Kim, Kang Yoon  ;  Woo, Young Jun  ;  Jang, Sun Young  ;  Lee, Eun Jig  ;  Yoon, Jin Sook 
 Ophthalmic Plastic and Reconstructive Surgery, Vol.33(3) : 168-172, 2017 
Journal Title
 Ophthalmic Plastic and Reconstructive Surgery 
Issue Date
Acellular Dermis* ; Adult ; Aged ; Blepharoplasty/methods* ; Decompression, Surgical/methods* ; Eyelids/surgery* ; Female ; Follow-Up Studies ; Graves Ophthalmopathy/surgery* ; Humans ; Male ; Middle Aged ; Retrospective Studies ; Young Adult
PURPOSE: To investigate the surgical outcome of grafting acellular human dermis compared with concurrent lower eyelid retractor recession during swinging eyelid orbital decompression for correction of lower eyelid retraction in patients with Graves' orbitopathy. METHODS: Institutional Review Board-approved retrospective nonrandomized study of 54 Graves' orbitopathy patients (95 eyes) from 2008 to 2012. Patients who received decompression were divided into 3 groups: Group 1 with conjunctival lengthening using 0.3-mm thickness AlloDerm (36 eyes), Group 2 with inferior retractor recession (33 eyes), and Group 3 with decompression only (26 eyes). Outcome measures included lower eyelid height, inferior sclera show, cosmetic appearance, and complications. RESULTS: Baseline clinical characteristics and the degree of improvement of exophthalmos were not different between groups. Preoperative MRD2 was higher in group 1 (8.0 mm) than in groups 2 (6.9 mm, p < 0.001) and 3 (6.6 mm, p < 0.001). Mean improvement of MRD2 as well as postoperative improvement of inferior scleral show at postoperative 4 to 6 months were significantly higher in group 1 (2.7 mm) than in groups 2 (1.8 mm, p < 0.001) and 3 (1.2 mm, p < 0.001). CONCLUSION: Simultaneous correction of lower eyelid retraction using thin AlloDerm during swinging eyelid orbital decompression maximizes improvement of lower eyelid retraction compared with concurrent inferior retractor recession.
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1. College of Medicine (의과대학) > Dept. of Ophthalmology (안과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Kang Yoon(김강윤)
Woo, Young Jun(우영준)
Yoon, Jin Sook(윤진숙) ORCID logo https://orcid.org/0000-0002-8751-9467
Lee, Eun Jig(이은직) ORCID logo https://orcid.org/0000-0002-9876-8370
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