Immediate Postoperative Difference of Eyelid Height Based on Intraoperative Measurement of Levator Aponeurosis Advancement in Patients with Unilateral Ptosis.

IF 1.9 4区医学 Q2 OPHTHALMOLOGY

Seminars in Ophthalmology Pub Date : 2024-10-14 DOI:10.1080/08820538.2024.2416059

Jose Miguel Ambat, Steffani Krista Someda, Naoyuki Morishige, Yasuhiro Takahashi, Hirohiko Kakizaki

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引用次数: 0

Abstract

Purpose: To determine the relationship between marginal reflex distance (MRD-1) outcomes and the distance of levator aponeurosis advancement.

Methods: This retrospective observational study included patients with acquired unilateral aponeurotic ptosis, who underwent small-incision anterior levator advancement. The distance of levator advancement, and intra-operative MRD-1 in the sitting position, were analyzed to determine a correlation between the two.

Results: Forty-eight patients were included. Results exhibited no direct relationship between advancement distance and MRD-1 measurements. Median and range of MRD-1 outcomes did not present a linear progression as the distance increased or decreased. A majority of advancement distances exhibited a median MRD-1 outcome of 4.00 mm (n = 3). Success criteria was met in 85.4% of surgeries performed.

Conclusion: Due to varying postoperative MRD-1 outcomes, surgical results cannot be accurately predicted using predetermined advancement distances. Confirming the final MRD-1 in the sitting position with subsequent adjustment is still recommended.

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根据术中测量单侧上睑下垂患者提上睑肌前移量得出的术后即刻眼睑高度差。

目的：确定边缘反射距离（MRD-1）结果与上睑提肌腱膜前移距离之间的关系：这项回顾性观察研究纳入了接受小切口前上睑提肌腱膜前移术的后天性单侧上睑下垂患者。分析了上睑提肌前移的距离和术中坐位的 MRD-1，以确定两者之间的相关性：结果：共纳入 48 例患者。结果：共纳入 48 例患者，结果显示推进距离与 MRD-1 测量值之间没有直接关系。MRD-1结果的中位数和范围并没有随着距离的增减而呈现线性变化。大多数推进距离的 MRD-1 结果中位数为 4.00 毫米（n = 3）。85.4%的手术符合成功标准：结论：由于术后MRD-1结果各不相同，因此不能使用预先确定的推进距离来准确预测手术结果。仍建议在坐位时确认最终的 MRD-1，然后再进行调整。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Seminars in Ophthalmology OPHTHALMOLOGY-

CiteScore

3.20

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Seminars in Ophthalmology offers current, clinically oriented reviews on the diagnosis and treatment of ophthalmic disorders. Each issue focuses on a single topic, with a primary emphasis on appropriate surgical techniques.