摘要
目的探讨下睑缩肌后徙或切断手术治疗轻度下睑退缩的临床效果。方法手术多在局麻下进行，采用经典的下睑袋皮肤切口。打开下眶隔，将眶脂肪向下推，暴露下睑缩肌的前表面，沿下睑板下缘处分离下睑缩肌，将下睑缩肌完全分离至下穹隆。于穹隆水平处切断或将其后徙缝合于下穹隆处结膜面。患者取坐位观察下睑位置，以下睑位于下方角膜缘上0．5mm为宜。术后1周、1月及6月测量下睑位置，观察其变化情况。结果11例（14眼），随访6—20月，平均7．3月，获良好效果。12眼在双眼平视时下睑位于角膜下缘，2眼仍残存下睑退缩约0．5mm。全部病例下睑退缩较术前有极大的改善，手术效果良好。结论下睑缩肌后徙或切断手术治疗轻度下睑退缩可获得较好的功能和美容效果。对于轻度下睑退缩的治疗是一种较理想的方法。
Objective To assess the effects of recession and tendotomy of the lower eyelid retractors in the treatment of the light lower eyelid retraction. Methods Recession and tendotomy of the lower eyelid retractors in 14 eyes （11cases） of light lower eyelid retraction was performed. An incision was designed at an incision of lower eyelid bag plastic surgery, opened the septum, and exposed the anterior of the lower eyelid retractor, dissected the lower eyelid retractor from the inferior tarsus margin to fomix conjunetiva inferior. The lower eyelid retractors were tendotorsied or recessed,anchored the lower eyelid retractor to the fomix eonjunctiva inferior. Lid height and contour could be evaluated by sitting the patient up. The skin was closed. The main outcome measure included the position of the lower eyelid relative to the globe in primary position of gaze and postoperative complication in postoperative, one week and one month and six months. Results 14 eyes with a postoperative follow-up for 6 - 20 months.A satisfactory lid position was achieved in 12/14,with the lower lid margin at the level of the limbus at the 6-o＇clock .2 eyelids were considered undercorreetion with the lid 0.5 nun below the inferior limbus. Conclusion Recession and tendotomy of the lower eyelid retractors in the treatment of the light lower eyelid retraction is effective.
出处
《眼外伤职业眼病杂志》
北大核心
2006年第2期98-100,共3页
Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries
关键词
下睑缩肌
下睑退缩
整形
lower eyelid retractors
lower eyelid retraction
surgery, plastic
