摘要
目的 探讨上睑下垂额肌瓣悬吊术中上睑缘位置与手术效果的关系。方法 2 8例 3 5眼先天性上睑下垂 ,全部在局麻下采用额肌瓣悬吊术治疗 ,术中将上睑缘位置矫正到角膜上缘处 ,术后常规处理 ,并严密观察上睑缘位置的下降程度。结果 术后随访 1～ 3年 ,上睑缘位于角膜上缘以下 1mm者 4眼 ( 11 43 %) ,2mm者 2 8眼 ( 80 0 0 %) ,3mm者 3眼 ( 8 5 7%)。术后上睑缘位置下降 2mm ,符合正常人上睑缘遮盖上方角膜 2mm左右的解剖结构和生理要求。全部病人均获得满意和比较满意的矫正效果。结论 上睑下垂额肌瓣悬吊术术中上睑缘应恰位于角膜上缘处 。
Objective To investigate the relationship between upper eyelid margin position in suspension and the clinical effect.Methods 35 eyes (28 cases) had accepetd the suspension surgery.All the upper eyelid margin position in suspension were corrected to superior corneal limbus.Results After 1～3 years follow up,80 00% of the upper eyelid margin position were at 2 mm lower than superior corneal limbus,11 43% were at 1 mm lower than superior corneal limbus,8 57% were at 3 mm lower than superior corneal limbus.All cases had got satisfactory clinical effects.Conclusion The upper eyelid margin position in suspension should be corrected to superior corneal limbus.
出处
《眼外伤职业眼病杂志》
北大核心
2004年第5期326-327,共2页
Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries
关键词
上睑下垂
手术
额肌瓣
上睑缘位置
blepharoptosis
surgery
upper eyelid margin position
