Becker B B, Berry F D
Jules Stein Eye Institute, UCLA School of Medicine.
Arch Otolaryngol Head Neck Surg. 1992 Sep;118(9):959-62. doi: 10.1001/archotol.1992.01880090075020.
Sixty-seven consecutive patients (134 lids) undergoing lower lid blepharoplasty with skin excision had preoperative, intraoperative, and postoperative photographs taken in a sitting position. There was correlation between intraoperative and postoperative lower lid levels in 119 (89%) of 134 lids. There were nine lids with normal intraoperative lower lid level but postoperative lower lid retraction (scleral show). All nine of these lids had preoperative lower lid retraction. This demonstrated a high correlation between intraoperative and postoperative lower lid levels in the sitting position in lower lid blepharoplasty with skin excision, providing preoperative lower lid retraction is not present, horizontal lid laxity is corrected, and cicatricial lid retraction does not occur.
67例（134只眼睑）连续接受下睑皮肤切除术的下睑成形术患者在坐位时拍摄了术前、术中和术后照片。134只眼睑中有119只（89%）术中与术后下睑水平存在相关性。有9只眼睑术中下睑水平正常但术后出现下睑退缩（巩膜暴露）。所有这9只眼睑术前均有下睑退缩。这表明在无术前下睑退缩、矫正了睑水平松弛且未发生瘢痕性睑退缩的情况下，下睑皮肤切除的下睑成形术中坐位时术中与术后下睑水平高度相关。
