老年性上睑下垂手术治疗临床观察

目的: 评价不同术式治疗老年性上睑下垂的手术效果。方法: 将2008-06/2011-10明确诊断为老年性上睑下垂的150例164眼患者分为3种临床类型,从而选择不同手术方法:(1)轻度下垂:选择提上睑肌腱膜折叠术;(2)中度下垂:选择提上睑肌缩短术;(3)重度下垂:选择额肌瓣悬吊术。结果: 老年性上睑下垂患者164眼,随访3mo～1a,均获得良好效果:Ⅰ级(良好)者154眼(93.9%),Ⅱ级(尚可)10眼(6.1%)。结论: 根据患者提上睑肌肌力、上睑下垂程度以及结合术者经验,做出客观仔细的术前检查来选择适当术式,可达到最佳矫正效果。

Clinical observation of surgical management for senile blepharoptosis

AIM: To evaluate the efficacy of various surgical techniques for correcting different types of senile blepharoptosis.

METHODS: From June 2008 to October 2011, 150 cases(164 eyes)patients with senile blepharoptosis underwent surgical treatment. Patients with severe blepharoptosis received frontalis muscle flap suspensio, patients with moderate blepharoptosis get levator palpebrae superioris muscle shortening and those with mild blepharoptosis underwent pleating of levator palpebrae superioris.

RESULTS: After 3-month to 1-year follow-up, 154(93.9%)eyes get satisfactory results and 10(6.1%)eyes obtained better results.

CONCLUSION: In order to achieve the best correction in patients with blepharoptosis, it is important that making objective and careful preoperative examinations, selecting appropriate operation managements according to the levator palpebrae superioris muscle strength, the degrees of blepharoptosis and combined with experience.