部分睑板全层切除联合提上睑肌缩短术矫正中重度上睑下垂

目的:探讨部分睑板全层切除联合提上睑肌缩短术矫正中重度上睑下垂的方法和疗效。方法:对15例(2007年～2011年)(19只眼)中重度上睑下垂患者行部分睑板全层切除联合提上睑肌缩短术。结果:术后随访6个月～3年,本组15例(19只眼)中重度上睑下垂均矫正满意(外观满意,弧度自然)。早期均有不同程度的眼睑闭合不全的情况,一般术后1～3个月内完全恢复,无并发症发生。结论:部分睑板全层切除联合提上睑肌缩短术,此手术操作简单,并发症少,而且疗效确切。     

Touraine–Solente–Gole syndrome

Touraine–Solente–Gole syndrome, also known as Pachydermoperiostosis (PDP) or Primary Hypertrophic Osteoarthropathy, is a rare hereditary disorder, which affects both bones and skin. It is characterized by a combination of dermatologic changes (pachydermia or thickening of the skin) and rheumatologic manifestations (periostosis and finger clubbing). Eyelid ptosis which is caused by thickened eyelids (blepharoptosis) is a less common symptom. We report the case of a patient with a complete form of Touraine–Solente–Gole syndrome with bilateral blepharoptosis as presenting feature.     

两种额肌瓣治疗重度先天性上睑下垂的效果分析

目的比较L形与矩形额肌瓣悬吊术式治疗重度上睑下垂的临床效果。方法104眼采用L形额肌瓣悬吊术,87眼采用矩形额肌瓣悬吊术。结果191眼术后随访6个月-1年,L形额肌瓣治疗重度上睑下垂的手术时间、出血量及并发症均少于矩形额肌瓣悬吊术。结论L形额肌瓣悬吊术治疗先天f生重度上睑下垂效果优于矩形额肌瓣悬吊术。     

L形额肌瓣悬吊治疗重度上睑下垂的临床研究

目的：探讨治疗重度上睑下垂的手术方法。方法：制作宽蒂、深面分离多浅面分离少的L形额肌瓣,治疗重度上睑下垂81例114只眼。结果：临床治疗81例115只眼,随访0.5～3年,矫正良好,外形自然,无复发及并发症发生,均获满意疗效。结论：L形额肌瓣悬吊术是治疗重度上睑下垂可靠而有效的方法。     

Predictability of ConjunctivalMüellerectomy for Blepharoptosis Repair

Purpose: To assess the predictability of the algorithm used to determine the amount of tissue resection for conjunctival-Müellerectomy during blepharoptosis repair. Methods: A consecutive case series of all patients undergoing conjunctival-Müellerectomy during blepharoptosis repair between July 2001 and February 2005. All of the cases had a positive phenylephrine test, and the mean preoperative upper marginal reflex distance (MRD₁) was +1.60 mm (range: ?1 ±3.5 mm). Each patient underwent excision according to the following algorithm: 10 mm of resection for 2 mm of ptosis, 8 mm of resection for 1.5 mm of ptosis, and 6 mm of resection for 1 mm of ptosis. Results: Fifty-five patients underwent conjunctival-Müellerectomy during blepharoptosis repair on 73 eyelids, using the above algorithm. Thirty-seven cases were unilateral and 18 were bilateral. The mean postoperative MRD₁ was +3.42 mm (range 0–+4.5 mm). Postoperative symmetry was found in 42 of 55 patients (76.4%) after one surgical procedure. Patient satisfaction based on contour, symmetry and height after one repair was achieved in 52 of 55 patients (94.55%). There were three reoperations for previous undercorrection. Conclusion: This algorithm quantifies conjunctival-Müellerectomy during blepharoptosis repair. Excellent and very predictable results are obtained by a technique that is both simple and achievable in a short operating time.     

改良上睑提肌缩短术治疗上睑下垂

目的：为轻度上睑下垂的治疗提供更为简单有效更符合生理要求的方法。方法：采用上睑提肌折叠缩短前移的改良新术式治疗轻度上睑下垂。结果：1996年以来共治疗63例，随访3－6个月，效果好，创伤小。结论：该法适用于轻度上睑下垂、上睑提肌肌力中等以上的患者。     

重度上睑下垂矫治术后再次手术整复原因分析与探讨

目的：探讨重度上睑下垂额肌筋膜瓣悬吊术后远期并发症的预防，以提高其治疗效果。方法：对1996～2001年门诊患者中上睑下垂额肌筋膜瓣悬吊术后要求再次整形者48例（79眼）进行观察分析。结果：发现重睑皱褶过高、皱褶不全59眼，其中上睑瘢痕显露29眼；眼睑闭合不全41眼，其中皮肤紧缩性闭合不全19眼；矫正过度4眼。所有病例均存在不同程度的上睑迟滞现象。结论：多数并发症通过手术技巧可以预防，但睑闭合不全及上睑迟滞问题仍是今后探讨的重点。     

改良Fasanella-Servat法上睑下垂矫正术

目的:介绍一种上睑下垂整复的新手术方法。方法:2005年以来应用改良Fasanella-Servat法行上睑下垂矫正术共治疗12例患者。结果:手术顺利,术后效果理想,外观满意。结论:改良Fasanella-Servat法上睑下垂矫正术简单易行,手术创伤小,是一种轻中度上睑下垂治疗的理想方法。     

Upper eyelid margin-to-corneal reflex distance in Arab boys

Background : The average value of some facial and ocular dimension varies with race, age and gender. The upper eyelid margin-to-corneal reflex distance (ULCRD) is used to define and quantify the degree of blepharoptosis. Evidence from previous studies indicates that both the vertical width of the palpebral fissure (VWPF) and the ULCRD are age-dependent. This study was carried out to investigate the average value of the ULCRD in Saudi Arabian boys and to determine the relationship between the ULCRD and the VWPF. This information will be useful in diagnosing and quantifying the degree of ptosis among Arabian boys. Methods : Measurements of the ULCRD and the VWPF were obtained from projected slide photographs taken of boys aged between six and 15 years. The measured distances were converted to actual values by multiplying by a constant magnification factor. Results : The average value of the ULCRD was 3.05 mm ± 0.79 while that of the VWPF was 8.83 mm ± 1.14. The ULCRD was directly proportional to the VWPF. Approximately 44.0 per cent of the variation in the ULCRD among our subjects was accounted for by the differences in the VWPF. The two variables were related by the equation: ULCRD = 0.45 VWPF -0.91. A maximum asymmetry of 1.0 mm was obtained between the ULCRD of the two eyes. Conclusions : The average value of the ULCRD of Arab boys is lower than previously reported averages obtained on predominantly Caucasian adult subjects. This finding may be related to age and racial differences. The ULCRD is closely related to the VWPF. Generally, the ULCRD is similar in both eyes. Asymmetry greater than 1.0 mm should be investigated further for evidence of blepharoptosis or exophthalmos.     

扇形额肌筋膜瓣悬吊治疗上睑下垂

目的：探计上睑下垂的较好治疗方法，以改进治疗效果方法：设计井应用扇形额肌筋膜瓣悬吊治疗上睑下垂，结果应用本方击治疗上睑下垂83倒，126只眼，致采满意。其中43例经3个月-10年随访，除3例(4只眼)下垂复发外，其余均取得了良好效果，未见其他并发症发生。结论：本方法的主要特点是扇形筋膜瓣有丰富的血供，并且能均衡覆盖在睑板上以充分上提上睑，符合生理和解音4的要求。