Scleral Contact Lens Usage in Patients With Complex Blepharoptosis
Scleral Contact Lens Usage in Patients With Complex Blepharoptosis
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DOI：
10.1097/iop.0b013e3181d07408
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发表时间：
2011-03-01
影响因子：
2
通讯作者：
Rose, Geoffrey E.
中科院分区：
文献类型：
--
作者：
Shah-Desai, Sabrina D.;Aslam, Sher A.;Rose, Geoffrey E.
目的：评价巩膜接触镜（ScCLs）作为一种替代或作为一种辅助手术矫正的管理复杂potoxi.Methods：一个回顾性病例说明审查的有效性，以确定的主观功能和化妆品的可接受性的镜头。拍摄数字照片，包括有和没有透镜的位置;分析软件用于评估睑孔（PA）的垂直高度和上缘反射距离。三名戴面具的观察者独立地将照片的美观性分为“好”、“中等”或“差”。结果：10名患者（6名男性）在14只接受治疗的眼睛中佩戴ScCL 1至40年（平均10.3年;中位数3年）。不戴透镜时，平均PA为4.9 mm（中位数，5.1 mm;范围，1.7-7.1 mm），戴透镜后增加至9.5 mm（中位数，8.9 mm;范围，5.8-14.8 mm）（p < 0.005）。同样，上缘-反射距离从不戴透镜时的0.39 mm（中位数，0.03 mm;范围，0-2.4 mm）增加到戴透镜时的3.1 mm（中位数，2.7 mm;范围，1.5-5.8 mm）（p < 0.005）。在6例单侧ScCL配戴患者中，治疗眼的平均PA为10.4 mm，无透镜眼的平均PA为8.4 mm（p = 0.22）。所有长期佩戴ScCL的患者均认为其舒适且美观可接受。结论：ScCL是一种安全、有效的上睑提升术，可长期有效地治疗上睑下垂。在我们的队列中的患者似乎是满意的美容，虽然有一些局限性，这方面的主观看法。
Purpose: To evaluate the efficacy of scleral contact lenses (ScCLs) as an alternative or as an adjunct to surgical correction for the management of complex ptosis.Methods: A retrospective case-note review was used to determine the subjective function and cosmetic acceptability of the lenses. Digital photographs were taken, both with and without the lens in place; analytic software was used to assess the vertical height of the palpebral aperture (PA) and the upper margin-reflex distance. Three masked observers independently graded the photographs for cosmesis as "good," "moderate," or "poor."Results: Ten patients (6 male) had been wearing ScCLs in 14 treated eyes for between 1 and 40 years (mean, 10.3 years; median, 3 years). Without a lens, the mean PA was 4.9 mm (median, 5.1 mm; range, 1.7-7.1 mm), increasing to 9.5 mm (median, 8.9 mm; range, 5.8-14.8 mm) with the lens in place (p < 0.005). Likewise, the upper margin-reflex distance increased from 0.39 mm (median, 0.03 mm; range, 0-2.4 mm) without a lens in place to 3.1 mm (median, 2.7 mm; range, 1.5-5.8 mm) with lens wear (p < 0.005). In 6 patients with unilateral ScCL wear, mean PA was 10.4 mm in the treated eye and 8.4 mm in the eye without a lens (p = 0.22). All patients who were wearing ScCLs long term found them to be both comfortable and cosmetically acceptable. On subjective grading of photographs, however, the cosmesis was judged as "good" in 22%, "moderate" in 64%, and "poor" in 14%.Conclusion: In some patients, ScCLs provide a well-tolerated and practical long-term solution to safely elevating the upper eyelid in which complex ptosis is present. The patients in our cohort seem to be satisfied with the cosmesis, although there are some limitations to this aspect when viewed subjectively.