改良式上睑提肌缩短术

目的：为先天性上睑下垂寻求简便的手术方法，以达到功能和美学的双重效果。方法：回顾性分析1994－1999年我院施行改良式上睑提肌缩短术治疗31例（33眼）先天性上睑下垂情况，手术方法的要点：利用中横韧带或上睑提肌腱膜悬吊矫正上睑下垂。结果：术后早期睑缘覆盖角膜缘1－3mm者达93．8％，上睑缘弧度及双重睑形成良好。双侧眼窝深度对称。术后仅部分病例早期有轻度闭合不全，结论：该术式在改善提睑功能方面与传统上睑提肌缩短术无差别，但手术方法简单，效果肯定，不影响眼部固有解剖关系，采用可调式缝线，不影响二次手术。

Modified levator muscle resection for the treatment of congenital ptosis

objective To develop more simple and effective method for the treatment of congenital ptosis to achieve both functional and cosmetic correcting effect. Methods Thirty-one patients (33 eyes) with congeital ptosis from 1994 to 1999 which underwent modified levator muscle resec- tion were retrospectively analyzed . Results At early stage after surgery, 93.8% of patients achieved the effect that upper eyelid margin covered the upper limbos for 1 to 3 mm, and had satisfactory upper eyelid con- tour , symmetric upper eyelid crease and palpebral fissure height. Few cases had mild lagophthalomos. Conclusion Modifed eyelid muscle re- section not only had the same effect as traditional one, but also had the advantages of convenient procedure, adjustable suture, and positive effect.