Upper Eyelid Retraction Repaired Without Using Spacer

A combined technique for lid retraction that includes levator recession and Mullerectomy without spacers and levator and Muller muscle recession without spacers was presented. Eight procedures on eight patients were reviewed. Four patients with lid retraction had hyperthyroidism, one patient showed idiopathic lid retraction,and three patients was due to overcorrection of ptosis. Three patients showed excellent cosmetic appearance during the follow-up period of 6 to 22 months; but four patients mild limitation in elevation, and one patient insufficent correction.