Levator-Muller's recession using labial mucosa as a spacer in severe eyelid retraction

Abstract

ObjectiveTo evaluate the use of labial mucosa as a spacer for levator-Muller's recession in correction of severe eyelid retraction. DesignRetrospective interventional study. ParticipantsWe retrospectively reviewed records of 4 patients with severe upper eyelid retraction not associated with cicatricial diseases of the conjunctiva. MethodSurgical correction of eyelid retraction was performed by Levator-Muller's recession using autologous mucosal graft (from lip) as a spacer through transconjunctival approach. Eyelid height and contour were the main outcome measures evaluated after surgery. ResultsThere was resolution of dry eye symptoms in all 4 cases. In 2 cases the corrected eyelid height was within 1 mm of the desired lid position. The lid contour was good in 2 cases and satisfactory in 2 cases because of mild lateral flare. The eyelid height remained stationary till the last follow-up, which ranged from Eyelid height and contour were the main outcome measures evaluated after surgery. 6–30 months (mean: 18 months). ConclusionsLabial mucosal graft as a spacer for levator-Muller's recession is a good option for correction of severe upper eyelid retraction. It provides stable eyelid position within 3 months of surgery with no corneal complications.