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Upper eyelid retraction after periorbital trauma.

Kwon SI, Kim YJ - Korean J Ophthalmol (2008)

Bottom Line: A 31-year-old man (Case 1) and a 24-year-old man (Case 2) presented with left upper eyelid retraction which developed after blow-out fractures, a 44-year-old woman (Case 3) presented with left upper eyelid retraction secondary to a periorbital contusion that occurred one week prior, and a 56-year-old man (Case 4) presented with left upper eyelid retraction that developed 1 month after a lower canalicular laceration was sustained during a traffic accident.CT showed no specific findings in the second or fourth cases.Upper eyelid retraction due to superior complex adhesion can be considered one of the complications of periorbital trauma.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Hallym University Sacred Heart Hospital, Anyang, Korea.

ABSTRACT
We report four unusual cases of upper eyelid retraction following periorbital trauma. Four previously healthy patients were evaluated for unilateral upper eyelid retraction following periorbital trauma. A 31-year-old man (Case 1) and a 24-year-old man (Case 2) presented with left upper eyelid retraction which developed after blow-out fractures, a 44-year-old woman (Case 3) presented with left upper eyelid retraction secondary to a periorbital contusion that occurred one week prior, and a 56-year-old man (Case 4) presented with left upper eyelid retraction that developed 1 month after a lower canalicular laceration was sustained during a traffic accident. The authors performed a thyroid function test and orbital computed tomography (CT) in all cases. Thyroid function was normal in all patients, CT showed an adhesion of the superior rectus muscle and superior oblique muscle in the first case and diffuse thickening of the superior rectus muscle and levator complex in the third case. CT showed no specific findings in the second or fourth cases. Upper eyelid retraction due to superior complex adhesion can be considered one of the complications of periorbital trauma.

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Case 4: (A) Left upper eyelid retraction was observed one month after canalicular repair. (B) Significant lid lag on downgaze in the left eye. (C) Normal contrast-enhanced CT scan.
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Figure 4: Case 4: (A) Left upper eyelid retraction was observed one month after canalicular repair. (B) Significant lid lag on downgaze in the left eye. (C) Normal contrast-enhanced CT scan.

Mentions: Case 4. A 56-year-old man visited our clinic for a left orbital contusion and lower canalicular laceration sustained in a traffic accident. His initial orbital CT scan revealed no specific findings, so the following day we repaired the canalicular laceration and inserted a Crawford tube. However, one month after surgery, even though the sutured wound was in good condition, he presented with upper eyelid retraction and a slight lid lag on the left eye (Fig. 4A, B).


Upper eyelid retraction after periorbital trauma.

Kwon SI, Kim YJ - Korean J Ophthalmol (2008)

Case 4: (A) Left upper eyelid retraction was observed one month after canalicular repair. (B) Significant lid lag on downgaze in the left eye. (C) Normal contrast-enhanced CT scan.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2629920&req=5

Figure 4: Case 4: (A) Left upper eyelid retraction was observed one month after canalicular repair. (B) Significant lid lag on downgaze in the left eye. (C) Normal contrast-enhanced CT scan.
Mentions: Case 4. A 56-year-old man visited our clinic for a left orbital contusion and lower canalicular laceration sustained in a traffic accident. His initial orbital CT scan revealed no specific findings, so the following day we repaired the canalicular laceration and inserted a Crawford tube. However, one month after surgery, even though the sutured wound was in good condition, he presented with upper eyelid retraction and a slight lid lag on the left eye (Fig. 4A, B).

Bottom Line: A 31-year-old man (Case 1) and a 24-year-old man (Case 2) presented with left upper eyelid retraction which developed after blow-out fractures, a 44-year-old woman (Case 3) presented with left upper eyelid retraction secondary to a periorbital contusion that occurred one week prior, and a 56-year-old man (Case 4) presented with left upper eyelid retraction that developed 1 month after a lower canalicular laceration was sustained during a traffic accident.CT showed no specific findings in the second or fourth cases.Upper eyelid retraction due to superior complex adhesion can be considered one of the complications of periorbital trauma.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Hallym University Sacred Heart Hospital, Anyang, Korea.

ABSTRACT
We report four unusual cases of upper eyelid retraction following periorbital trauma. Four previously healthy patients were evaluated for unilateral upper eyelid retraction following periorbital trauma. A 31-year-old man (Case 1) and a 24-year-old man (Case 2) presented with left upper eyelid retraction which developed after blow-out fractures, a 44-year-old woman (Case 3) presented with left upper eyelid retraction secondary to a periorbital contusion that occurred one week prior, and a 56-year-old man (Case 4) presented with left upper eyelid retraction that developed 1 month after a lower canalicular laceration was sustained during a traffic accident. The authors performed a thyroid function test and orbital computed tomography (CT) in all cases. Thyroid function was normal in all patients, CT showed an adhesion of the superior rectus muscle and superior oblique muscle in the first case and diffuse thickening of the superior rectus muscle and levator complex in the third case. CT showed no specific findings in the second or fourth cases. Upper eyelid retraction due to superior complex adhesion can be considered one of the complications of periorbital trauma.

Show MeSH
Related in: MedlinePlus