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REVIEW ARTICLE
Year : 2022  |  Volume : 12  |  Issue : 1  |  Page : 12-21

Management of eyelid retraction related to thyroid eye disease


1 Department of Ophthalmology and Visual Sciences, Division of Ophthalmic Plastic and Reconstructive Surgery, Paulista School of Medicine, Federal University of São Paulo EPM/UNIFESP; Eye & Eyelid Experts, Division of Ophthalmic Plastic Surgery; Department of Ophthalmology, Division of Ophthalmic Plastic and Reconstructive Surgery, University of Santo Amaro/UNISA, São Paulo, Brazil
2 Department of Ophthalmology, Division of Ophthalmic Plastic and Reconstructive Surgery, University of Santo Amaro/UNISA, São Paulo, Brazil
3 Department of Ophthalmology and Visual Sciences, Division of Ophthalmic Plastic and Reconstructive Surgery, Paulista School of Medicine, Federal University of São Paulo EPM/UNIFESP; Eye & Eyelid Experts, Division of Ophthalmic Plastic Surgery, São Paulo, Brazil

Correspondence Address:
Midori H Osaki
Division of Ophthalmic Plastic and Reconstructive Surgery, Paulista School of Medicine, Federal University of São Paulo EPM/UNIFESP, São Paulo; Eye & Eyelid Experts. R. João Moura, 661 cj 84, São Paulo
Brazil
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/tjo.tjo_57_21

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Eyelid retraction related to thyroid eye disease (TED) is a challenging condition. It is one of the main clinical signs and a major diagnostic criterion in TED. This condition may threaten vision due to exposure keratopathy, in addition to its esthetic alterations, which may lead to psychosocial implications and affect the patient's quality of life. Although it is more commonly observed in the upper eyelid, it may be present on both the upper and lower lids. Numerous surgical and nonsurgical treatment modalities have been described and will be reviewed in this article. Management should be based on an individual patient assessment, taking into consideration the disease stage, severity, and clinician experience.


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