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October 1994

Magnetic Resonance Imaging of the Upper Eyelid Anatomy

Author Affiliations

Albany, NY

Arch Ophthalmol. 1994;112(10):1278. doi:10.1001/archopht.1994.01090220028010

I read with interest the article by Goldberg et al1 detailing high-resolution magnetic resonance imaging (MRI) of upper eyelid structures. Using this technique, Goldberg2 reported on racial anatomic eyelid differences in a subsequent letter published in the August 1993 issue of the Archives. In his letter, Goldberg included a figure that nicely demonstrated features of the Asian and Occidental upper eyelids visualized with MRI. I believe the legend accompanying the figure contains some inaccuracies, however. According to the legend, the suborbicularis is identified in the figure by an arrowhead. The arrowhead actually points to the superficial fascia (ie, subcutaneous fat) of the eyebrow. The true suborbicularis space lies in the area indicated by the arrow in the figure (which the legend describes as the eyebrow). On MRI, the orbicularis and orbital septum can be seen as bands of low-signal intensity on T1-weighted images. The suborbicularis space

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