Thyroid lid surgery

Abstract

A retrospective study of 58 thyroid patients undergoing eyelid surgery for thyroid related lid malposition is reported. A treatment strategy is suggested, based on the results of this experience.The following points are stressed:(1) The importance of recognising and relieving the inferior rectus tethering component of upper lid retraction when present.(2) The usefulness of a scleral graft in lower lid retractor recession.(3) The inadequacy of lateral tarsorrhaphy in relieving lid retraction but its value in camouflage. © 1987 The Ophthalmological Society of the United Kingdom.