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Br J Ophthalmol 83:81-84 doi:10.1136/bjo.83.1.81
  • Original Article
    • Clinical science

A single technique to correct various degrees of upper lid retraction in patients with Graves’ orbitopathy

Table 1

Criteria for evaluation of upper lid lengthening in Graves’ orbitopathy

Perfect result:
1 The upper 0.5 to 1.5 mm of the cornea in the 12 o’clock position is covered by the eyelid.
2 The difference in lid aperture between the left and right side is ⩽ 1 mm.
3 The patient is completely satisfied.
4 The lid margin contour is smooth.
5 The lid crease is within 7–10 mm from the lid margin.
6 The skin folds of the right and left lid are symmetrical.
Acceptable result:
1 The upper eyelid margin is within 0.5 mm of the limbus, or covers no more than 2 mm of the cornea in the 12 o’clock position.
2 The difference in lid aperture between the left and right side is less than 2 mm.
3 The patient is satisfied and demands no further surgery.
4–6 As in a perfect result.
Unacceptable result:
One or more of the above mentioned criteria are not fulfilled.

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