Photo Credit: Tarasov Vl
The following is a summary of “Eyelid Surgery in Thyroid Eye Disease” published in the December 2023 issue of Ophthalmic Plastic and Reconstructive Surgery by Naik, Milind N. M.D., et al.
A PubMed search for specific eyelid manifestations of TED was performed. Studies reporting surgical management of these were reviewed, along with the author’s own experience.
The most common eyelid manifestations of TED include eyelid retraction, blepharoptosis, entropion, and epiblepharon, with most of them requiring surgical intervention. The correction of eyelid retraction has received maximum attention, with several surgical techniques that have stood the test of time. Blepharoptosis in TED that requires surgical intervention is usually aponeurotic. Entropion and epiblepharon are rare in TED, and may resolve spontaneously, or following orbital decompression.
The study concluded that retraction is the most common eyelid manifestation of TED, with multiple surgical options available for its correction. Blepharoptosis, entropion, and epiblepharon are rare eyelid findings in TED, that may occasionally require surgical correction.
Source: https://journals.lww.com/op-rs/abstract/2023/12001/eyelid_surgery_in_thyroid_eye_disease.11.aspx
