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Anatomic Considerations in Upper Eyelid Retraction

 

作者: Bradley Lemke,  

 

期刊: Ophthalmic Plastic and Reconstructive Surgery  (OVID Available online 1991)
卷期: Volume 7, issue 3  

页码: 158-166

 

ISSN:0740-9303

 

年代: 1991

 

出版商: OVID

 

关键词: Eyelid;Eyelid retraction;Anatomy;Orbit;Graves' disease;Proptosis

 

数据来源: OVID

 

摘要:

A series of anatomically correct orbital drawings are created to examine the major integrating factors that determine upper eyelid position on the eye. The principal upper eyelid force planes can be identified as (1) the eyelid vertical retractor plane slightly divergent from the orbital axis, (2) the eyelid protractor plane nearly tangent to the orbital aperture, and (3) the upper eyelid tarsal-ligamentous plane swinging from within the horizontal orbital rims. These forces are governed by variation in orbital size and shape, globe size and position, and the length-tension characteristics of the eyelid retractors, protractors, and lamellae. Enhanced lateral upper eyelid retraction occurs in part because the eye in primary position looks away from the orbital axis and projects more lateral sclera. When the eye gazes laterally, coincident with the orbital axis, enhanced lateral upper eyelid retraction disappears.

 

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