Eyelid Retraction Following Combined Frontalis Flap and Levator Advancement Surgery.

IF 1.3 4区 医学 Q3 OPHTHALMOLOGY
Victoria Blaga, Francesca Nesi-Eloff, Lauren D Mileo
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引用次数: 0

Abstract

An 84-year-old female with a history of bilateral congenital ptosis presented with pain in the OD. The patient had undergone bilateral frontalis flap and levator advancement for decompensated congenital ptosis 18 months prior. On examination, the patient demonstrated significant retraction and contour abnormalities of the right upper eyelid. Slit lamp exam revealed superficial punctate keratitis of the OD. The patient underwent ptosis revision of the right upper eyelid, which revealed scarring of the orbital septum to the advanced levator muscle and a severely fibrotic levator muscle. Following revision of the orbital septum and levator, the patient demonstrated significant improvement in eyelid closure with minimal residual ptosis, recurrent eyelash ptosis, and improved ocular surface comfort.

额肌瓣联合提上睑肌手术后眼睑缩回。
84岁女性,有双侧先天性上睑下垂病史,外阴疼痛。患者于18个月前接受双侧额肌瓣及提上睑肌前移术治疗失代偿性先天性上睑下垂。在检查中,患者表现出明显的右上眼睑挛缩和轮廓异常。裂隙灯检查显示外伤处有浅表点状角膜炎。患者接受右上眼睑上睑下垂矫正手术,结果发现眶隔到上提肌的瘢痕和严重纤维化的提肌。在眶隔和提上睑肌翻修后,患者的闭眼睑有了明显的改善,残余上睑下垂减少,睫毛下垂复发,眼表舒适度改善。
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来源期刊
CiteScore
2.50
自引率
10.00%
发文量
322
审稿时长
3-8 weeks
期刊介绍: Ophthalmic Plastic and Reconstructive Surgery features original articles and reviews on topics such as ptosis, eyelid reconstruction, orbital diagnosis and surgery, lacrimal problems, and eyelid malposition. Update reports on diagnostic techniques, surgical equipment and instrumentation, and medical therapies are included, as well as detailed analyses of recent research findings and their clinical applications.
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