Recession and tendotomy of the lower eyelid retractors in the treatment of the light lower eyelid retraction.

Objective To assess the effects of recession and tendotomy of the lower eyelid retractors in the treatment of the light lower eyelid retraction.Methods Recession and tendotomy of the lower eyelid retractors in 14 eyes(11cases) of light lower eyelid retraction was performed.An incision was designed at an incision of lower eyelid bag plastic surgery,opened the septum,and exposed the anterior of the lower eyelid retractor,dissected the lower eyelid retractor from the inferior tarsus margin to fornix conjunctiva inferior.The lower eyelid retractors were tendotomied or recessed,anchored the lower eyelid retractor to the fornix conjunctiva inferior.Lid height and contour could be evaluated by sitting the patient up.The skin was closed.The main outcome measure included the position of the lower eyelid relative to the globe in primary position of gaze and postoperative complication in postoperative one week and one month and six months. Results 14 eyes with a postoperative follow-up for 6-20 months.A satisfactory lid position was achieved in 12/14,with the lower lid margin at the level of the limbus at the 6-o'clock.2 eyelids were considered undercorrection with the lid 0.5 mm below the inferior limbus.Conclusion Recession and tendotomy of the lower eyelid retractors in the treatment of the light lower eyelid retraction is effective.