A surgical procedure to minimize lower-eyelid retraction with inferior rectus recession
B. J. Kushner
Pediatric Eye Clinic, University of Wisconsin, Madison.
Advancement of the capsulopalpebral head at the time of inferior rectus
recession has been described as a technique to minimize postoperative
lower-eyelid retraction. In a prospective randomized masked clinical trial,
this technique combined with inferior rectus recession was compared with
inferior rectus recession alone, with respect to post-operative
lower-eyelid retraction. The mean (+/- SD) postoperative lower-eyelid
retraction was 0.7 +/- .82 mm for patients in whom the capsulopalpebral
head was advanced, as opposed to 1.3 +/- .85 mm for the control group. This
difference was statistically significant (Student's t = 2.787; P = .006).