摘要
目的:观察特发性上睑下垂的临床特点及手术治疗效果。方法:不明原因上睑下垂患者19例25眼,年龄12～72(平均35.4)岁,均病因不明,提上睑肌力9～15(平均11.3)mm;均在局部麻醉下行提上睑肌缩短术,术中观察提上睑肌腱膜的解剖情况;术中将患侧睑缘上提至合适水平。结果:术中发现5例患者的提上睑肌腱膜变薄,16例提上睑肌腱膜与上睑板之间附着松弛。随访1mo～1a,16例(84%)矫正满意(单眼患者双眼睑缘完全等高或相差1mm以内;双眼患者上睑缘位于上角膜缘下1～2mm,且双眼高度差在1mm以内),3例(16%)欠佳(双眼上睑缘位置相差约2mm)。所有病例术后外观均较术前有改善或明显改善。结论:特发性上睑下垂估计与提上睑肌腱膜附着松弛或腱膜变薄有关。提上睑肌缩短术可较满意地改善外观。
AIM：To observe the clinical characteristics and treat-ment effectiveness of idiopathic ptosis.·METHODS：Nineteen cases（25 eyes） with idiopathic ptosis aged from 12 to 72 years（average 35.4） had unknown etiology,and the muscle strength of apertor oculi of them was 9～15mm（average 11.3） . All cases underwent apertor oculi shortening under local anesthe-sia. Anatomy of apertor oculi aponeurosis was observed,and limbus palpebralis of affected side was lifted to appropriate position intraoperatively.·RESULTS：During the operations,we found thinned aponeurosis in 5 cases and flaccida adhesion of apertor oculi aponeurosis to superior tarsus in 16 cases.After 1 month to 1 year follow-up,16 cases（84%） got satisfactory effects（equal height or difference less than 1mm of two upper lid margins for single-eye patients;For two eyes patients,two upper lid margins were 1～2mm below the upper corneal edges,and difference in height was within 1mm） . 3 cases（16%） got unsatisfactory effects（the distance between upper lid margins of the two eyes was about 2mm） . All cases had better or obviously better aspects than that before operation.·CONCLUSION：Idiopathic ptosis seems to be relevant to the flabby adhesion of the levator muscle of upper eyelid aponeurosis or attenuation of aponeurosis. Levator muscle of upper eyelid shortening could improve the aspects satisfactorily.
出处
《国际眼科杂志》
CAS
2009年第9期1831-1832,共2页
International Eye Science
关键词
腱膜性睑下垂
提上睑肌缩短术
特发性
aponeurotic ptosis of upper lid
levator-recession surgery
idiopathic
