Functional Indications for Upper Eyelid Ptosis and Blepharoplasty Surgery A Report by the American Academy of Ophthalmology
Functional Indications for Upper Eyelid Ptosis and Blepharoplasty Surgery A Report by the American Academy of Ophthalmology
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DOI：
10.1016/j.ophtha.2011.09.029
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发表时间：
2011-12-01
期刊：
影响因子：
13.7
通讯作者：
Mawn, Louise A.
中科院分区：
文献类型：
--
作者：
Cahill, Kenneth V.;Bradley, Elizabeth A.;Mawn, Louise A.
目的：通过对术前功能损伤和手术结果的评估，探讨眼睑成形术和上睑下垂修复术的功能适应证和疗效。方法：2008年7月24日对PubMed和Cochrane图书馆数据库进行文献检索，无年龄和日期限制，仅限于发表的英文文章。这些搜索检索到1147条引文；全文综述87项研究，13项研究符合纳入标准，纳入证据分析。结果：13项研究报告了模拟上睑下垂的功能影响或治疗结果；几种类型的上睑下垂修复，包括结膜-穆勒肌切除术、额肌悬吊术和外提肌切除术；还有上眼睑整形。结论：上睑下垂和上睑松弛修复术后患者的视力、周边视力和生活活动质量均有明显改善。术前改善指标包括：边缘反射距离1 (MRD(1))≤2mm，视野损失至少12度或24%，下视下垂影响阅读和其他近距离工作活动，因视轴遮挡导致的俯仰后仰，眼睑下垂导致的不适或眼疲劳症状，上眼睑位置导致的中枢性视觉干扰，以及患者自述的功能障碍。财务披露：作者在本文中讨论的任何材料中没有专有或商业利益。眼科2011;《中华眼科杂志》2011年第1期。
Objective: To evaluate the functional indications and outcomes for blepharoplasty and blepharoptosis repair by assessing functional preoperative impairment and surgical results.Methods: Literature searches of the PubMed and Cochrane Library databases were conducted on July 24, 2008, with no age or date restrictions, and they were limited to articles published in English. These searches retrieved 1147 citations; 87 studies were reviewed in full text, and 13 studies met inclusion criteria and were included in the evidence analysis.Results: The 13 studies reported the functional effects or treatment results of simulated ptosis; several types of blepharoptosis repair, including conjunctiva-Muller's muscle resection, frontalis suspension, and external levator resection; and upper eyelid blepharoplasty.Conclusions: Repair of blepharoptosis and upper eyelid dermatochalasis provides significant improvement in vision, peripheral vision, and quality of life activities. Preoperative indicators of improvement include margin reflex distance 1 (MRD(1)) of 2 mm or less, superior visual field loss of at least 12 degrees or 24%, down-gaze ptosis impairing reading and other close-work activities, a chin-up backward head tilt due to visual axis obscuration, symptoms of discomfort or eye strain due to droopy lids, central visual interference due to upper eyelid position, and patient self-reported functional impairment.Financial Disclosure(s): The author(s) have no proprietary or commercial interest in any materials discussed in this article. Ophthalmology 2011; 118: 2510-2517 (C) 2011 by the American Academy of Ophthalmology.