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[摘要]
目的:评价同期手术治疗上睑内翻合并老年性上睑下垂的手术效果。
方法:将2010-06/2013-06明确诊断为上睑内翻合并腱膜性上睑下垂的患者30例60眼同期行上睑内翻倒睫矫正合并提上睑肌缩短合并前徙术,观察手术后效果。
结果:术中全部矫正良好,分别于1wk; 1,6mo对参选患者内翻及倒睫矫正情况及上睑遮盖上方角膜缘程度进行观察。上睑内翻倒睫得到完全矫正。上睑遮盖上方角膜缘垂直距离术后1wk为1.68±0.71mm,1mo为1.71±0.69mm,6mo为1.70±0.65mm,均较术前相比差异有统计学意义(P<0.05)。术后无暴露性角膜炎,无过矫发生。
结论:多数患有上睑内翻倒睫的老年人同时合并有老年性上睑下垂,眼科医生应该重视上述两种病变的合并存在,并同时矫正。同期行上睑内翻矫正合并提上睑肌缩短的方法治疗上睑内翻倒睫合并老年性上睑下垂,可取得满意疗效。
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[Abstract]
AIM: To evaluate the efficacy of simultaneous surgery for correcting senile blepharoptosis combined with upper eyelid entropion.
METHODS: From June 2010 to June 2013, 30 cases(60 eyes)patients with senile blepharoptosis combined with upper eyelid entropion, received simultaneous surgery. The simultaneous surgery was upper eyelid entropion correction with levator palpebrae superioris muscle shortening and advancement.
RESULTS: All cases were performed surgery successfully. The position of upper eyelid and the management of upper eyelid entropion were observed. The upper eyelid margin rested 1.68±0.71mm below the superior limbus at 1wk, 1.71±0.69mm below the superior limbus at 1mo, and 1.70±0.65mm below the superior limbus at 6mo. Compared with the preoperative values, the difference were statistically significant(P<0.05). No postoperative complications such as exposure keratitis and overcorrection were observed.
CONCLUSION: Most of patients with senile upper eyelid entropion has senile blepharoptosis, Ophthalmologists should pay attention to those patients and give them the correct surgery techniques. It is effective to use upper eyelid entropion correction with levator palpebrae superioris muscle shortening and advancement to correct senile blepharoptosis with upper eyelid entropion.
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