Staged Correction of Cicatricial Upper Eyelid Retraction and Contralateral Upper Eyelid Ptosis

Kim, Kwang Seog; Kwon, Yu Jin; Park, Sang Ryul; Kim, Eui Sik; Hwang, Jae Ha; Lee, Sam Yong

Abstract

Upper eyelid retraction may result in conjunctival and corneal exposure as well as a cosmetic problem. Ptosis can disrupt vision and makes it difficult to carry out everyday activities such as reading or driving. Although various surgical methods for correction of upper eyelid retraction and ptosis have been reported, correction of cicatricial upper eyelid retraction and contralateral ptosis in a patient still remains a challenging problem. We performed a staged procedure with a 6-month interval for correction of cicatricial upper eyelid retraction and contralateral ptosis with satisfactory results. A 21-year-old male patient presented with right upper eyelid retraction due to a previous lacerated wound and left upper eyelid ptosis. At first, levator recession and adhesiolysis via a skin incision were performed to correct the right eyelid retraction. About 6 months later, Muller tucking was done to correct the left eyelid ptosis. Patient's postoperative course was uneventful without any complications. At 1 month follow-up, the patient revealed excellent results from both functional and cosmetic point of view. Therefore, a careful surgical approach is needed for correction of cicatricial upper eyelid retraction and contralateral ptosis.