PURPOSE: To evaluate the functional and cosmetic outcomes of modified full thickness graded blepharotomy when used for East Asian @entity1 with upper eyelid retraction of @entity2194 ( @entity2194 ). METHOD: Medical records of each @entity1 who underwent modified full-thickness blepharotomy at Korea University Guro Hospitals from January 2009 to February 2014 to correct upper eyelid retraction resulting from @entity2194 were retrospectively reviewed. RESULTS: Modified full-thickness graded blepharotomies were performed on 22 eyelids of 18 @entity1 . The most common preoperative upper eyelid retraction-associated symptom was asymmetry of the upper eyelid (14 @entity1 , 77.7%) followed by discomfort (10 @entity1 , 55.5%), @entity3917 (5 @entity1 , 27.7%), and @entity9467 (4 @entity1 , 22.2%). Most preoperative symptoms improved after blepharotomy (Table 1). Preoperatively, upper eyelid retraction ( @entity25796 ; midpupil marginal reflex distance) ranged from 2.3 mm to 6.8 mm (mean, 5.23    0.89) in 22 lids; postoperatively, lid retraction significantly decreased to 3.26    1.23 mm (P = 0.03 by independent t test) (Table 2). Lid retraction was divided into 3 groups according to severity; a severe group (5 eyelids, 27.7%), a moderate group (14 eyelids, 63.6%), and a mild group (3 eyelids, 13.6%). The @entity25796 improved regardless of severity (P = 0.03 in the severe group, P = 0.02 in the moderate group, and P = 0.04 in the mild group by independent t test). The @entity25796 improvement did not differ significantly among groups (P = 0.08 by Pearson    t test). At 6 months postoperatively, the midpupil marginal reflex distance was the perfect height in 13 of 22 lids (59.0%), with a mean reduction of 3 mm, whereas 7 of 22 eyelids (31.8%) were at acceptable height and 2 eyelids (9.0%) showed failure. Overall, 18 eyelids (90.9%) exhibited objectively satisfactory results (perfect or acceptable) at 6 months after surgery (Table 3). CONCLUSIONS: Modified graded full thickness eyelid blepharotomy is a reliable and safe method for upper eyelid lengthening for East Asian @entity1 with upper eyelid retraction of @entity2194 that offers excellent functional and cosmetic results.

Modified Full Thickness Graded Blepharotomy for Upper Eyelid Retraction Associated With XXXX in East Asians.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity2194 :: ('MESH:D005128', 'Disease') :: ['thyroid eye disease', 'TED'] @entity9467 :: ('MESH:D007766', 'Disease') :: ['epiphora'] @entity25796 :: ('55777', 'Gene') :: ['MRD1'] @entity3917 :: ('MESH:D020795', 'Disease') :: ['photophobia']
@entity2194 :: (MESH:D005128,Disease) :: ['Thyroid Eye Disease']
