Full thickness eyelid transsection (blepharotomy) for upper eyelid lengthening in lid retraction associated with Graves’ disease
Full thickness eyelid transsection (blepharotomy) for upper eyelid lengthening in lid retraction associated with Graves’ disease
复制标题
全层眼睑横断术（眼睑切开术）用于延长与格雷夫斯病相关的眼睑回缩的上眼睑
DOI：
10.1136/bjo.2004.052852
复制
发表时间：
2005
影响因子：
4.1
通讯作者：
C. Haritoglou
中科院分区：
文献类型：
--
作者：
Christoph R Hintschich;C. Haritoglou
目的：报道一种改良的上睑延长术治疗Graves病合并上睑挛缩。方法：前瞻性连续介入病例系列。41例患者，女性38例，男性3例，平均年龄55岁（32-75岁）。对60个眼睑进行了上睑全横断和可选的侧角横断。结膜中心桥在瞳孔轴上完好无损。术前、术后测量皮肤折痕、睑开度、巩膜展度，评估睑缘轮廓。总体结果分为“完美”、“可接受”和“失败”。结果：平均随访时间为6个月（范围2-36个月）。术前，上睑内缩1 ~ 7 mm不等；60例眼睑中53例（88%）睑孔达到理想高度（SD 1mm），缩小3mm（平均），60例眼睑中44例（73%）皮肤皱褶保持不变（SD 1mm）。经过一两次手术后，43例的结果被认为是“完美”的，而60例中的14例被认为是“可接受”的。在三个眼睑中，手术失败了。结论：与其他手术方法相比，本方法操作简单，术后效果令人满意。
Aim: To report on a modified technique for upper eyelid lengthening in lid retraction associated with Graves’ disease. Methods: A prospective consecutive interventional case series. 41 patients, 38 women and three men, with a mean age of 55 years (range 32–75 years) were included. Full transsection of the upper eyelid with optional transsection of the lateral horn was performed in 60 lids. A central bridge of conjunctiva was left intact in the pupillary axis. Before and after surgery, the skin crease, palpebral aperture, and scleral show were measured and the contour of the lid margin was assessed. The overall result was graded as “perfect,” “acceptable,” and “failure.” Results: The mean period review was 6 months (range 2–36 months). Preoperatively, upper eyelid retraction varied from 1 mm to 7 mm; mean scleral show was 2 mm in 45 lids, the palpebral aperture was in the desired height (SD 1 mm) in 53 of 60 lids (88%) and was reduced by 3 mm (mean), the skin crease remained unchanged (SD 1 mm) in 44 of 60 lids (73%). The result was considered “perfect” in 43 and “acceptable” in 14 of 60 lids after one or two surgical approaches. In three lids, the surgery had failed. Conclusion: In contrast with other surgical techniques the surgical approach presented here is easy to perform and still leads to very satisfying and predictable postoperative results.