单纯性先天性上睑下垂和肌腱膜性上睑下垂的 "闭合性后上睑提肌腱膜前移术 "比较评估

IF 1 Q4 OPHTHALMOLOGY
R. Goel, Sonam Singh, Shalin Shah, S. Khanam, Priyanka Golhait, Tanvi Gaonker
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引用次数: 0

摘要

本研究旨在比较 "闭合性后上睑提肌腱膜前移术"(CPLA)对上睑提肌功能(LF)良好的后天性上睑下垂和单纯性先天性上睑下垂的治疗效果。 我们对 20 名成年患者进行了前瞻性介入研究,其中 10 名为单纯先天性上睑下垂,10 名为后天性上睑下垂且提上睑肌功能≥8 mm。研究排除了并发症、外伤后、神经源性上睑下垂和曾接受过睑板手术的患者。详细询问了病史,并评估了视力、上睑缘反射距离(MRD1)、睑缘增宽距离、LF、贝尔现象、眼表疾病指数(OSDI)和苯肾上腺素试验。对 20 只眼睛进行了 CPLA 检查,并随访 3 个月。 研究对象的年龄从18岁到64岁不等,男女比例为11:9。其中有 9 只眼球为肌腱膜性上睑下垂,1 只为先天性重度上睑下垂,其余 10 只为轻中度上睑下垂。肌腱膜性上睑下垂组的病因是内卷(2 例)、佩戴隐形眼镜(1 例)、过敏性结膜炎(3 例),另有 4 例为特发性上睑下垂。两组的成功率均为 90%。上睑下垂矫正量与 LF(r s = 0.6,P = 0.004)和苯肾上腺素试验(r s = 0.7,P < 0.001)呈正相关。肌腱组的并发症有眼睑下垂(2/10)、主观干眼症(2/10)、结膜下出血(1/10)、眼睑外翻(1/10)、颞叶外翻(1/10)和过度矫正(1/10)。先天性组仅出现矫正不足(1/10)。 CPLA 是治疗轻度-中度单纯先天性上睑下垂和各种程度的上睑下垂的有效方法,且 LF 良好。对苯肾上腺素试验的反应可作为上睑下垂矫正量的有效指导。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparative evaluation of “closed posterior levator advancement” in simple congenital and aponeurotic ptosis
The purpose of this study was to compare the outcomes of “closed posterior levator advancement” (CPLA) in acquired aponeurotic and simple congenital ptosis with good levator function (LF). A prospective interventional study was conducted on 20 adult patients, 10 simple congenital ptosis, and 10 acquired aponeurotic ptosis with LF ≥8 mm. Complicated, posttraumatic, neurogenic ptosis and previous lid surgery were excluded. A detailed history and assessment of visual acuity, upper eyelid margin reflex distance (MRD1), margin-crease distance, LF, Bell’s phenomenon, ocular surface disease index (OSDI), and phenylephrine test were undertaken. CPLA was performed in the 20 eyes and were followed up for 3 months. The ages of the study participants ranged from 18 to 64 years, and the male: female ratio was 11:9. There were nine aponeurotic and one congenital severe ptosis, the remaining 10 being mild–moderate ptosis. The etiologies in the aponeurotic group were involutional (2), contact lens wear (1), allergic conjunctivitis (3), and idiopathic in four eyes. The success rates were 90% in both groups. The amount of ptosis correction showed a positive relation with LF (r s = 0.6, P = 0.004) and phenylephrine test (r s = 0.7, P < 0.001). The complications in the aponeurotic group were lagophthalmos (2/10), subjective dry eye (2/10), subconjunctival hemorrhage (1/10), symblepharon (1/10), temporal flare (1/10), and overcorrection (1/10). The congenital group showed only undercorrection (1/10). CPLA is an effective procedure for the treatment of mild–moderate simple congenital and all grades of aponeurotic ptosis with good LF. Response to phenylephrine test serves as a useful guide to the amount of ptosis correction.
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来源期刊
CiteScore
1.80
自引率
9.10%
发文量
68
审稿时长
19 weeks
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