外侧睑板条锚定联合下睑缩肌加固术矫正下睑外翻的疗效  

Curative Effect of Lateral Tarsal Anchorage Combined with Lower eyelid Retractor Reinforcement in Correcting Lower Eyelid Ectropion

作　　者：邵珺 王杨宁致 Shao Jun;Wangyang Ningzhi(Department of Ophthalmology,The Affiliated Wuxi People's Hospital of Nanjing Medical University,Wuxi Jiangsu 214023,China)

机构地区：[1]南京医科大学附属无锡人民医院眼科,江苏无锡214023

出　　处：《医疗装备》2021年第23期90-92,共3页Medical Equipment

基　　金：国家自然科学基金(81970819);无锡市双百拔尖人才(2020012);中国博士后67批面上项目(2020M671541)。

摘　　要：目的评估睑缘切开后进行外侧睑板条锚定联合下睑缩肌加固术对于下睑外翻的疗效。方法回顾性分析2017年6月至2020年1月在医院门诊就诊的26例(26眼)退行性睑外翻和麻痹性睑外翻患者的临床资料,所有患者均采用外侧睑板条锚定联合下睑缩肌加固术,定量评估术前、术后6个月下睑外翻程度。结果术后6个月,所有患者均恢复良好;术前巩膜暴露(3.02±1.22)mm,术后6个月巩膜暴露(-0.06±0.51)mm;术前下睑缘角膜映光距离为(7.52±1.32)mm,术后6个月下睑缘角膜映光距离为(5.02±0.53)mm;术前睑裂闭合不全(6.17±1.91)mm,术后6个月睑裂闭合不全(0.98±0.09)mm。结论外侧睑板条锚定联合下睑缩肌加固术可有效矫正退行性睑外翻和麻痹性睑外翻患者,具有操作方便、复发率低的特点。Objective The curative effect of lateral tarsal anchorage combined with lower eyelid retractor muscle reinforcement in correcting lower eyelid ectropion was evaluated. Methods The clinical data of a total of 26 patients(26 eyes) with degenerative and paralytic palpebral ectropion received in the outpatient clinic in the hospital from June 2017 to January 2021 were retrospectively analyzed. All patients underwent lateral tarsal anchorage combined with lower eyelid retractor muscle reinforcement. And then the degrees of lower eyelid ectropion before and after surgery were quantitatively evaluated. Results Six months after surgery, all patients recovered well;The preoperative sclera exposure was(3.02±1.22)mm, and the postoperative sclera exposure was(-0.06±0.51) mm;The preoperative lower eyelid margin corneal reflection distance was(7.52±1.32)mm, and the postoperative lower eyelid margin corneal reflection distance was(5.02±0.53) mm;The preoperative lagophthalmos was(6.17±1.91)mm, and the postoperative lagophthalmos was(0.98±0.09) mm. Conclusion Lateral tarsal anchorage combined with lower eyelid retractor reinforcement can effectively correct patients with degenerative and paralytic palpebral ectropion, and it has the characteristics of convenience,effectiveness and low recurrence rate.

关 键 词：外侧睑板条锚定 下睑外翻 下睑缩肌加固术 

分 类 号：R777.1[医药卫生—眼科]