结膜松弛症下睑缘位置及张力观察  

The observation of lower eyelid location and tension of conjunctivochalasis

作　　者：严雅静[1] 张兴儒[1] 项敏泓[1] 李青松[1] 许琰[1] 周欢明[1] 

机构地区：[1]上海中医药大学附属普陀医院眼科,中国上海市200062

出　　处：《国际眼科杂志》2009年第3期495-497,共3页International Eye Science

摘　　要：目的:探讨结膜松弛症发病机制,寻求有效防治方法。方法:对241例(479眼)结膜松弛症(conjunctivochalasis,CCh)下眼睑位置及下睑缘张力检查。将下睑缘位置分为3型:角膜缘下型、角膜缘上型及角膜缘型。将下睑缘张力分为5型:下睑缘内翻型、下睑缘内倾型、下睑缘正常型、下睑缘外倾型及下睑缘外翻型。结果:下睑缘位置以角膜缘型伴有下睑缘内倾型发生结膜松弛症最多(20.2%);其次为角膜缘下型伴下睑缘内倾型(17.3%)。角膜缘上型伴下睑缘外倾型最少(1.5%)。结论:下睑缘张力高是结膜松弛症发生因素之一。AIM ： To discuss the pathogenesis of conjunctivochalasis and search effective therapy methods. METHODS： Two hundred and forty-one cases （479 eyes） of conjunctivochalasis were examined on lower eyelid location and tension. The locations of lower eyelid were divided into three types： inferior corneal margin type, superior corneal margin type and corneal margin type. The tensions of lower eyelid were divided into five types： entropion lower eyelid type, introverted lower eyelid type, normal lower eyelid type, extroverted lower eyelid type and ectropion lower eyelid type. RESULTS： Conjunctivochalasis was often found in corneal margin type with introverted lower eyelid type （20.2%）. The second was found in inferior corneal margin type with introverted lower eyelid type （17.3%）. Superior corneal margin type with extroverted lower eyelid type was the lowest to find conjunctivochalasis （1.5%）. CONCLUSION： The high tension of lower eyelid is one factor of coniunctivochalasis pathoqenesis.

关 键 词：结膜松弛症 下睑缘位置 下睑缘张力 

分 类 号：R777.3[医药卫生—眼科] R779.6[医药卫生—临床医学]