提上睑肌缩短术治疗完全性先天性上睑下垂的临床观察

目的:观察提上睑肌缩短术治疗完全性先天性上睑下垂的疗效。方法:对25眼0肌力先天性上睑下垂患者行提上睑肌缩短徙前术,观察其手术效果。结果:25眼术后16眼睑裂高度正常,眼睑弧度自然,双眼基本对称;9眼矫正尚好,唯睑裂较对侧略小。无并发症发生。结论:手术矫正效果满意,外形自然,对0肌力先天性上睑下垂患者也应首选提上睑肌缩短术。

Clinical effect of shortening levator pal-pebrae superioris muscle on complete congenital blepharoptosis

AIM:To evaluate the effect of shortening levator palpebrae superioris muscle on complete congenital blepharoptosis. ·METHODS:Twenty-five eyes with congenital blepharo-ptosis with 0 grade of myodynamia were treated with levator palpebrae superioris muscle shortening. The operation effect was observed. ·RESULTS:Sixteen eyes were completely rectified. The height of lid fissure of binoculus was equal,and the eyelid radian was natural. The binoculus appearance was symmetry. The height of lid fissure of 9 eyes was lower slightly than that of opposite eyes.No complications occurred in all patients. ·CONCLUSION:The rectified effect of shortening levator palpebrae superioris muscle on complete congenital blepharoptosis is satisfied. This method should be a first choice for treatment of eye with congenital blepharoptosis with 0 grade of myodynamia.