摘要
目的探讨重睑术后继发上睑下垂的原因及修复方法。方法分析近3年接诊的18例重睑术后继发的上睑下垂患者,根据重睑手术方法分析其产生原因,并采取不同的修复方法。结果 11例患者由于术后静脉回流障碍、肿胀,经过热敷、红外线理疗后恢复,属于暂时性上睑下垂。7例患者出现提上睑肌腱膜的损伤,属于真性上睑下垂,需经过再次手术行提上睑肌修补和折叠才能矫正。结论重睑术后的肿胀和术中提上睑肌腱膜损伤均会导致上睑下垂。只要熟悉上睑的解剖,选择合适的手术方法熟练操作,可避免重睑术后真性上睑下垂的发生。
Objective To investigate the causes and repair methods of ptosis secondary from blepharoplasty.Methods 18 patients with ptosis secondary from blepharoplasty in recent 3 years were included.Different operations were taken for repair based on its possible causes.Results 11 patients resulted from venous return obstruction recovered when swelling disappear after a hot pack and infrared therapy,which indicated temporary ptosis.Levator muscle aponeurosis was injuried in 7 patients,which indicated potosis.Re-peration was performed through the double eyelid fold line and levator was repaired.Conclusion Both the swelling and levator tendon damage will result in ptosis in double eyelid surgery.If the surgeons are familiar with the anatomy of the upper eyelid,and the appropriate surgical method is selected,the complication of ptosis can be avoided in the blepharoplasty.
出处
《临床眼科杂志》
2011年第2期133-135,共3页
Journal of Clinical Ophthalmology
关键词
重睑
并发症
上睑下垂
Blepharoplasty
Complication
Ptosis
