摘要
目的:探讨改良额肌瓣悬吊术治疗先天性重度上睑下垂的临床效果。方法:采用额肌瓣悬吊术治疗24例35眼,术后1wk评价近期效果,随访观察12～41(平均18.5)mo,评价远期效果。结果:术后1wk矫正良好15例22眼,基本矫正8例12眼,矫正不足1例1眼,成功率(矫正良好+基本矫正)97%。随访中发现,2例(2眼)矫正良好者回退为基本矫正,1例1眼回退为矫正不足,2例3眼从基本矫正回退到矫正不足,远期成功率为88%。结论:改良额肌瓣悬吊术操作安全、无并发症,是治疗先天性重度上睑下垂的首选方法。
· AIM: To explore the clinical effect of modified frontalis muscle suspension surgery on severe congenital blepharoptosis.· METHODS: A total of 24 patients (35 eyes) with severe congenital blepharoptos is underwent modified frontalis muscle suspension surgery. The effects at postoperative 1wk were evaluated, and the long-term effects were assessed during 12-41mo (mean 18.5mo) of the follow up.· RESULTS: At 1wk after the surgery, favorable correction occurred in 15 cases(22 eyes), basic correction in 8 cases (12 eyes), and under-correction in 1 case(1 eye), with the success rate of 97% (favorablel correction and basic correction). During the follow-up, 2 patients (2 eyes) of favorable correction declined to basic correction, 1 patient (1 eye) was reduced to under-correction; 2 patients (3 eyes) of basic correction became under-correction, the long-term success rate being 88%.· CONCLUSION: Modified frontalis muscle suspension surgery is safe without complication. It is the first choice for treating severe congenital blepharoptosis.·
出处
《国际眼科杂志》
CAS
2005年第2期382-384,共3页
International Eye Science
