Burton J Kushner1, Jitendra N Jethani. 1. Department of Ophthalmology and Visual Sciences, University of Wisconsin Hospital and Clinics, Madison, WI 53703, USA. bkushner@facstaff.wisc.edu
Abstract
PURPOSE: To describe the occurrence of superior oblique (SO) tendon damage resulting from upper eyelid surgery and to explain its cause and treatment. DESIGN: Retrospective, observational case series. METHODS: An institution-based retrospective observational case series of seven patients in whom damage to the SO tendon secondary to eyelid surgery developed. RESULTS: In four of the patients, ipsilateral SO palsy developed, and three patients, a Brown syndrome pattern developed. The causative eyelid procedures consisted of surgery to correct ptosis in four patients, tumor removal in two patients, and cosmetic blepharoplasty in one patient. CONCLUSIONS: The SO tendon may be damaged as a result of eyelid surgery. The anatomy of the SO tendon should be kept in mind while performing surgery in the superomedial aspect of the upper eyelid.
PURPOSE: To describe the occurrence of superior oblique (SO) tendon damage resulting from upper eyelid surgery and to explain its cause and treatment. DESIGN: Retrospective, observational case series. METHODS: An institution-based retrospective observational case series of seven patients in whom damage to the SO tendon secondary to eyelid surgery developed. RESULTS: In four of the patients, ipsilateral SO palsy developed, and three patients, a Brown syndrome pattern developed. The causative eyelid procedures consisted of surgery to correct ptosis in four patients, tumor removal in two patients, and cosmetic blepharoplasty in one patient. CONCLUSIONS: The SO tendon may be damaged as a result of eyelid surgery. The anatomy of the SO tendon should be kept in mind while performing surgery in the superomedial aspect of the upper eyelid.
Authors: Yao Wang; Timothy J McCulley; Jefferson J Doyle; Jessica Chang; Michael S Lee; Collin M McClelland Journal: Neuroophthalmology Date: 2017-06-12