Surgical Anatomy of the Eyelid

  • John G. RoseJr.
  • Mark J. Lucarelli
  • Briggs E. Cook
  • Bradley N. Lemke


Proper diagnosis and management of eyelid disorders, both functional and cosmetic, hinge upon a thorough understanding of the location of critical eyelid structures and the anatomic relationships between them. Accurate intraoperative identification of anatomy is fundamental in performing eyelid surgery and preventing complications.


Lacrimal Gland Lower Eyelid Eyelid Margin Orbital Septum Levator Aponeurosis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    Westmore, MG. Facial cosmetics in conjunction with surgery, in Aesthetic Plastic Surgical Society Meeting. 1975. Vancouver, British Columbia.Google Scholar
  2. 2.
    Gunter, JP, Antrobus, SP, Aesthetic analysis of the eyebrows. Plast Reconstr Surg, 1997. 99: p. 1808–1816.PubMedCrossRefGoogle Scholar
  3. 3.
    Bosniak, SL, Zilkha, MC, Cosmetic blepharoplasty and facial rejuvenation. 1999, Philadelphia: Lippincott-Raven. 4. Lemke, BN, Stasior, OG, The anatomy ofeyebrow ptosis. Arch Ophthalmol, 1982. 100: p. 981–986.CrossRefGoogle Scholar
  4. 5.
    Tarbet, KJ, Lemke, BN, Clinical anatomy of the upper face. Ophthalmol Clin, 1997. 37: p. 11–28.CrossRefGoogle Scholar
  5. 6.
    Kikkawa, DL, Lemke, BN, Orbital and eyelid anatomy, in Ophthalmic Plastic Surgery: Prevention and Management of Complications, Dortzbach, RK, Editor. 1994, Raven Press: New York.Google Scholar
  6. 7.
    Stasior, GO, Lemke, BN, Wallow, IH, Dortzbach, RK, Levator aponeurosis elastic fiiber network. Ophthalmic Plast Reconstr Surg, 1993. 9: p. 1–10.CrossRefGoogle Scholar
  7. 8.
    Gavaris, P, The lid crease [Editor’s note]. Adv Ophthalmic Plast Reconstr Surg, 1982. 1: p. 89–93.Google Scholar
  8. 9.
    Meyer, D, Linberg, JV, Wobig, JL, McCormick, SA, Anatomy of the orbital septum and associated eyelid connective tissues: implications for ptosis surgery. Ophthalmic Plast Reconstr Surg, 1991. 7: p. 104–113.CrossRefGoogle Scholar
  9. 10.
    Jeong, S, Lemke, BN, Dortzbach, RK, Park, YG, Kang, KH, The Asian upper eyelid: an anatomical study with comparison to the Caucasian eyelid. Arch Ophthalmol, 1999. 117: p. 901–912.Google Scholar
  10. 11.
    Doxanas, MT, Anderson, RL, Oriental eyelids: an anatomic study. Arch Ophthalmol, 1984. 102: p. 1232–1235.PubMedCrossRefGoogle Scholar
  11. 12.
    Hawes, MJ, Dortzbach, RK, The microscopic anatomy of the lower eyelid retractors. Arch Ophthalmol, 1982. 100: p. 1313–1318.PubMedCrossRefGoogle Scholar
  12. 13.
    Wulc, AE, Dryden, RM, Khatchaturian, T, Where is the grey line? Arch Ophthalmol, 1987. 105: p. 1092–1098.PubMedCrossRefGoogle Scholar
  13. 14.
    Anderson, RL, Dixon, RS, The role of Whitnall’s ligament in ptosis surgery. Arch Ophthalmol, 1979. 97: p. 705.PubMedCrossRefGoogle Scholar
  14. 15.
    Wesley, RE, McCord, CD, Jones, NA, Height of the tarsus of the lower eyelid. Am J Ophthalmol, 1980. 90: p. 102–105.PubMedGoogle Scholar
  15. 16.
    Scheie, HG, Albert, DM, Distichiasis and trichiasis: origin and management. Am J Ophthalmol, 1966. 61: p. 718–720.PubMedGoogle Scholar
  16. 17.
    Lemke, BN, Della Roca, RC, Surgery of the eyelids and orbit: an anatomical approach. 1990, East Norwalk, CT: Appleton & Lange.Google Scholar
  17. 18.
    Dutton, J, Atlas of clinical and surgical orbital anatomy. 1994, Philadelphia: WB Saunders Company.Google Scholar
  18. 19.
    Anderson, RL, The medial canthal tendon branches out. Arch Ophthalmol, 1977. 95: p. 2051–2052.PubMedCrossRefGoogle Scholar
  19. 20.
    Whitnall, SE, Anatomy of the human orbit. 1932, London: Oxford University Press.Google Scholar
  20. 21.
    van den Bosch, WA, Leenders, I, Mulder, P, Topographic anatomy of the eyelids, and the effeects of sex and age. Br J Ophthalmol, 1999. 83: p. 347–352.PubMedCentralPubMedCrossRefGoogle Scholar
  21. 22.
    Goldberg, RA, Wu, JC, Jesmanowicz, A, Hyde, JS, Eyelid anatomy revisited: dynamic high-resolution images of Whitnall’s ligament and upper eyelid structures with the use of a surface coil. Arch Ophthalmol, 1992. 110: p. 1598.PubMedCrossRefGoogle Scholar
  22. 23.
    Codere, F, Tucker, NA, Renaldi, B, The anatomy of Whitnall ligament. Ophthalmology, 1995. 102: p. 2011–2019.CrossRefGoogle Scholar
  23. 24.
    Jones, LT, An anatomical approach to the problems of the eyelids and lacrimal apparatus. Arch Ophthalmol, 1961. 105: p. 1092–1098.Google Scholar
  24. 25.
    Doane, M, Blinking and the mechanics of the lacrimal drainage system. Ophthalmology, 1981. 88: p. 844–851.PubMedCrossRefGoogle Scholar
  25. 26.
    Jones, LT, Epiphora: its causes and new surgical procedures for its course. Am J Ophthalmol, 1954. 38: p. 824–831.PubMedGoogle Scholar
  26. 27.
    Hill, JC, Treatment of epiphora owing to flaccid eyelids. Arch Ophthalmol, 1979. 97: p. 323–324.PubMedCrossRefGoogle Scholar
  27. 28.
    Dortzbach, RK, Sutula, FC, Involutional blepharoptosis: a histopathological study. Arch Ophthalmol, 1980. 98: p. 2045–2049.PubMedCrossRefGoogle Scholar
  28. 29.
    Jones, LT, Quickert, MH, Wobig, JL, The cure of ptosis by aponeurotic repair. Arch Ophthalmol, 1975. 93: p. 629–634.PubMedCrossRefGoogle Scholar
  29. 30.
    Morton, AD, Elner, VM, Lemke, BN, White, VA, Lateral extensions of the Muller muscle. Arch Ophthalmol, 1996. 100: p. 1486–1488.CrossRefGoogle Scholar
  30. 31.
    Bang, YH, Park, SH, Kim, JH, Cho, JH, Lee, CJ, Roh, TS, The role of Müller’s muscle reconsidered. Plast Reconstr Surg, 1998. 101: p. 1200–1204.PubMedGoogle Scholar
  31. 32.
    Sires, BS, Lemke, BN, Dortzbach, RK, Gonnering, RS, Characterization of human orbital fat and connective tissue. Ophthalmic Plast Reconstr Surg, 1998. 14: p. 403–414.CrossRefGoogle Scholar
  32. 33.
    Knize, DM, A study of the supraorbital nerve. Plast Reconstr Surg, 1995. 96: p. 564–569.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2002

Authors and Affiliations

  • John G. RoseJr.
    • 1
  • Mark J. Lucarelli
    • 1
  • Briggs E. Cook
    • 1
  • Bradley N. Lemke
    • 1
  1. 1.Department of Ophthalmology and Visual SciencesUniversity of Wisconsin-MadisonMadisonUSA

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