Lee JKS, et al. - In this retrospective review of an ethnic Chinese population comprising 55 patients (77 eyelids) with Graves’ ophthalmopathy who underwent anterior blepharotomy for dysthyroid upper eyelid retraction, researchers intended to highlight the role of tarsal platform show (TPS) in optimizing the esthetic outcome of graded full-thickness anterior blepharotomy. Based on the findings, they concluded that consideration of not only eyelid height but also the subsequent TPS change will be required in order to achieve the most ideal surgical outcome in graded full-thickness anterior blepharotomy. For the optimization of esthetic outcome as well as symmetry, vigilance regarding the link between marginal reflex distance (MRD₁) change and TPS change is required among surgeons. When dealing with unilateral cases as well as patients with low pre-operative TPS, there will be a need to take special considerations.