Lateral and Medial Upper Eyelid Contour Abnormalities in Graves Orbitopathy: The Influence of the Degree of Retraction

• Tipo: Artigo em Revista Científica Internacional
• Data: 2013

Autores

Teixeira Ribeiro, SFT (Autor) Outra; Milbratz, GH (Autor) Outra; Garcia, DM (Autor) Outra; Fernandes, VL (Autor) Outra; Rocha-Sousa A (Autor) FMUP; Falcão-Reis F (Autor) FMUP; Velasco Cruz, AAV (Autor) Outra

Revista

Título: Ophthalmic Plastic and Reconstructive Surgery

Vol. 29

Páginas: 40-43

ISSN: 0740-9303

Editora: Wolters Kluwer Health

Indexação

ISI Web of Knowledge - 11 Citações

Scopus - 10 Citações

Outras Informações

ID Authenticus: P-002-1VW

DOI: 10.1097/iop.0b013e3182747537

Abstract (EN): Purpose: To determine the location of contour abnormalities in Graves upper eyelid retraction. Methods: Multiple midpupil angular eyelid distances of 75 upper eyelids of 55 patients (mean age = 41.7 +/- 13.3 SD years) in the inactive phase of Graves orbitopathy were measured with a recently developed custom-made software. Sixty eyelids of 60 normal subjects were also measured as a control group. A contour peak was defined by the highest midpupil angular eyelid distance normalized (divided) by the superior limit of normality (mean + 2SD). Results: In 45 eyelids (60%), the peaks were lateral between 120 degrees and 150 degrees. For high levels of retraction, the peaks tended to be centrally located with a substantial number of medial deformities (30 eyelids). Although the lateral and medial peaks were not affected by exophthalmometry, there was a statistically significant increase of medial peaks when midpupil eyelid distance was greater than 6.75 mm (chi(2) = 5.20, p = 0.02). Conclusions: Lateral contour abnormalities are more frequent than medial deformities. With minor degrees of retraction, there is a predominance of lateral peaks. With higher degrees of retraction, the number of medial abnormalities is similar to the lateral ones. (Ophthal Plast Reconstr Surg 2013;29:40-43)

Idioma: Inglês

Tipo (Avaliação Docente): Científica

Nº de páginas: 4