Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/96013
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Type: Journal article
Title: Upper eyelid retraction in the anophthalmic socket: review and survey of the Australian and New Zealand Society of Ophthalmic Plastic Surgeons (ANZSOPS)
Author: Shams, P.
Selva, D.
ANZSOPS Eyelid Retraction in Anophthalmia Survey Group
Citation: Ophthalmic Plastic and Reconstructive Surgery, 2014; 30(4):309-312
Publisher: Lippincott Williams & Wilkins
Issue Date: 2014
ISSN: 0740-9303
1537-2677
Statement of
Responsibility: 
Pari N. Shams, Dinesh Selva and the ANZSOPS Eyelid Retraction in Anophthalmia Survey Group
Abstract: PURPOSE: Unlike ptosis, upper eyelid retraction (ULR) is not a widely reported complication of the anophthalmic socket or post-enucleation socket syndrome (PESS). The clinical entity of post-enucleation ULR is investigated. METHODS: 1) Two cases of post-enucleation ULR presenting to a specialist oculoplastic center (South Australian Institute of Ophthalmology, Adelaide, Australia) are described, 2) Single forced choice survey of 22 members of the Australian and New Zealand Society of Ophthalmic Plastic Surgeons regarding their clinical experience of ULR in anophthalmia, and 3) English literature review. RESULTS: One case of ULR occurred less than 1 year and the other several decades following enucleation, both cases underwent eyelid surgery. Eighty-two percent of oculoplastic surgeons surveyed believe ULR is a rare and late (50%) complication of anophthalmia and 13.5% had never seen a case. Ninety-five percent indicated that ptosis is more common than retraction. A literature review supports the rarity of ULR in anophthalmia and a number of etiological factors are discussed. CONCLUSIONS: Upper eyelid retraction is a rare and often late complication of the anophthalmic socket. It occurs less commonly than ptosis as part of PESS, but increased recognition and reporting may improve the understanding of its true incidence and cause.
Keywords: Eyelid Diseases; Eye Enucleation
Rights: © 2014 by The American Society of Ophthalmic Plastic and Reconstructive Surgery, Inc., All rights reserved.
RMID: 0030015148
DOI: 10.1097/IOP.0000000000000098
Appears in Collections:Opthalmology & Visual Sciences publications

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