Eyelid malposition after orbital fracture surgery  

作　　者：Yue Xing Yongwei Guo Xia Ding Jin Li Ming Lin 

机构地区：[1]Department of Ophthalmology,Shanghai Ninth People’s Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai,China [2]Shanghai Key Laboratory of Orbital Diseases and Ocular Oncology,Shanghai,China [3]Eye Center,Second Affiliated Hospital,School of Medicine,Zhejiang University,Hangzhou,China [4]Department of Ophthalmology,University of Cologne,Faculty of Medicine and University Hospital Cologne,Cologne,Germany

出　　处：《Annals of Eye Science》2020年第4期70-76,共7页眼科学年鉴（英文）

基　　金：This work was supported by the National Natural Science Foundation of China(grants 81970834 and 81870688);the Science and Technology Commission of Shanghai Municipality(grants 19441900800).

摘　　要：Orbital fractures generally do not cause eyelid malposition.Studies have shown that mostly eyelid malposition is mainly due to the choice of surgical approaches of orbital fracture repair.Approaches are divided into transcutaneous and transconjunctival ones.The application of orbital fracture approaches depends on fractures’range and the surgeons’preferences.Eyelid malposition after orbital fracture surgery is not only an aesthetic concern but also a functional complication,which will cause eyes discomfort,such as corneal exposure and ocular irritation.Some patients may have multiple types of eyelid malposition.In this review,we summarized the surgical approaches of orbital fractures and the complications including scar,ectropion,retraction,entropion,flattening,laceration and lacrimal canaliculus avulsion and notch deformity that associated with eyelid,especially the lower eyelid.Reports revealed that the scar usually occurred in infraorbital incisions compared with subtarsal and subciliary incisions,and the transconjunctival approach had a higher incidence of entropion and flattening,and less ectropion than the transcutaneous approach.Meanwhile,pathogenesis of eyelid malposition after orbital fracture surgery are discussed.Furthermore,to prevent eyelid malposition complications,doctors should choose the appropriate orbital fracture approach according to the patient’s needs,and delicate tissue management,technical expertise,and meticulous hemostasis are necessary.Conservative treatment with taping,lubricating ointment,and steroid for eyelid malposition complications should be performed first,and then surgical intervention when the conservative treatment fails.

关 键 词：Eyelid malposition orbital fracture surgery PATHOGENESIS diagnosis THERAPEUTICS PRECAUTION 

分 类 号：R73[医药卫生—肿瘤]