囊睑筋膜头前徙术在先天性眼外肌纤维化Ⅰ型手术中的应用  

Capsulopalpebral head advancement to prevent lower eyelid retraction in the surgical treatment of congenital fibrosis of extraocular muscles type 1

作　　者：吴进[1] 刘雯[1] 黄丽娟[2] 周芸羽 谢妍 李宁东[1] Wu Jin;Liu Wen(Department of Ophthalmology,Beijing Children's Hospital,Capital Medical University,National Center for Children's Health,Beijing 100045,China)

机构地区：[1]首都医科大学附属北京儿童医院眼科国家儿童医学中心,100045 [2]福建医科大学附属第二医院眼科

出　　处：《中国斜视与小儿眼科杂志》2023年第2期33-35,I0006,共4页Chinese Journal of Strabismus & Pediatric Ophthalmology

摘　　要：目的 探讨先天性眼外肌纤维化I型患者下直肌超量后徙所致下睑退缩的防治措施。方法 回顾性分析2020年10月至2023年5月接受下直肌超常量后徙术联合囊睑筋膜头前徙术治疗的先天性眼外肌纤维化I型患者17例。术中下直肌后徙7~10mm,平均(8.67±0.74) mm,囊睑筋膜头与下直肌充分分离后前徙至原下直肌肌止点处。观察术后下睑位置的变化。结果 所有患者术后下斜视均明显改善且无一例下睑退缩,15例术后随访1~21月,期间没有出现下睑退缩。结论 囊睑筋膜头前徙术可有效预防先天性眼外肌纤维化I型手术矫正中下直肌超量后徙所致下睑退缩。Objective To explore a surgical procedure to prevent lower eyelid retraction resulting from inferior rectus recession in the treatment of congenital fibrosis of extraocular muscles type 1(CFEOM1).Methods Seventeen CFEOM1 patients,who had undergone large inferior rectus recession followed by advancement of capsulopalpebral head(CPH),were retrospectively analyzed.After inferior rectus was recessed by 7 to 10 mm(mean 8.67±0.74 mm),the CPH was advanced to the original insertion of inferior rectus.Results All patients had a marked improvement in hypotropia without lower eyelid retraction.Fifteen individuals were followed up from 1 to 21 months postoperatively,during which none had lower eyelid retraction.Conclusion CPH advancement can effectively prevent lower eyelid retraction due to large recession of inferior rectus in patients with CFEOM1.

关 键 词：囊睑筋膜头 先天性眼外肌纤维化 下睑退缩 

分 类 号：R779.6[医药卫生—眼科]