@article {1318868,
	title = {Simultaneous ipsilateral transconjunctival repair of upper and lower eyelid retraction in thyroid-associated ophthalmopathy},
	journal = {Orbit},
	year = {2018},
	month = {2018 May 09},
	pages = {1-6},
	abstract = {PURPOSE: To report a simple, highly effective technique of simultaneous transconjunctival repair of upper and lower eyelid retraction in patients with thyroid eye disease (TED). METHODS: A retrospective interventional case review was conducted on 22 eyes of 19 TED patients. The lower eyelid was recessed with placement of a tarsoconjunctival spacer graft harvested from the upper eyelid. The upper eyelid was then recessed through the conjunctival incision used to harvest the tarsal graft. A temporary tarsorrhaphy was placed for 5-7\&nbsp;days. The postoperative outcome was assessed by measuring the margin reflex distance of the upper eyelid (MRD1), inferior scleral show (ISS), and lagophthalmos. RESULTS: The absolute change in MRD1 ranged from 0 to 5\&nbsp;mm with an average of 1.86 {\textpm} 1.34\&nbsp;mm. The absolute change in ISS ranged from 0 to 2\&nbsp;mm with an average of 1.3 {\textpm} 0.49\&nbsp;mm. One patient had postoperative lagophthalmos and 17 of 19 had improvement in their ocular surface exposure symptoms. None of the patients{\textquoteright} grafts were observed to undergo absorption during the postoperative course. CONCLUSIONS: This technique of harvesting a free tarsoconjunctival graft from the upper eyelid as a posterior spacer for the lower while simultaneously recessing the upper eyelid through the same incision is an effective and durable method of correcting eyelid retraction in TED.},
	issn = {1744-5108},
	doi = {10.1080/01676830.2018.1474237},
	author = {Lee, Nahyoung Grace and Habib, Larissa and Hall, Jonathan and Freitag, Suzanne K}
}
