Ophthalmic Plast Reconstr Surg 2016 Mar-Apr;32(2):127-32
*Department of Ophthalmology and Visual Sciences, Carver College of Medicine and †Department of Biomedical Engineering, University of Iowa, Iowa City, Iowa, U.S.A.; ‡Department of Ophthalmology, Colorado Permanente Medical Group, Denver, Colorado, U.S.A.; §Laser Center, Santo Domingo, Dominican Republic; and ‖Bascom Palmer Eye Institute, Department of Ophthalmology, University of Miami Miller School of Medicine, University of Miami, Miami, Florida, U.S.A.
Purpose: A vector force model for the determination of upper eyelid position in the setting of a trabeculectomy bleb is presented. The model is used to explain the clinical courses of 5 patients with bleb-induced upper eyelid malposition and the efficacy of modalities previously described for the treatment of bleb-induced upper eyelid retraction. The novel use of botulinum toxin in the treatment of bleb-induced eyelid retraction and unique surgical considerations in patients with trabeculectomy blebs undergoing upper eyelid surgery are discussed. Read More