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Objective: To review the outcome of upper lid lowering by using auricular cartilage as the spacer for thyroid-related upper eyelid retraction.
Methods: A case series comprised of 23 eyes which were diagnosed with medium/severe graded thyroid-related upper eyelid retraction. The patients were operated at Ho Chi Minh City Eye Hospital, using auricular cartilage as the spacer to lower upper lid. Data were collected before and during 6 months after the surgery.
Results: More than 90% of preoperative symptoms improved: good upper lid lowering (95.65%), lagophthalmos improved (100%). Only 13.04% of eyes remained lateral upper eyelid retraction. Complications: keratopathy (8.68%); graft extrusion (0%); ptosis (0%). Only 1 eye was recurrent (4.34%).
Conclusion: Upper lid lowering by using auricular cartilage as the spacer is a safe and effective method to treat thyroid-related upper eyelid retraction. This method brings good cosmetic results and improves keratopathy because of upper lid retraction.
Conflicts of interest: The authors report no conflicts of interest.
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