Hussain Ibrar
Department of Ophthalmology, Abasin Clinic, Khattak Medical Centre, Dabgari Gardens, Peshawar -25000, Pakistan.
J Coll Physicians Surg Pak. 2006 Oct;16(10):652-4. doi: 10.2006/JCPSP.652654.
To determine the results of three sutures aponeurosis tuck procedure in patients with congenital ptosis.
A quasi-experimental study.
Department of Ophthalmology, Khyber Teaching Hospital, Peshawar from January 2004 to January 2005.
Twenty-four eyes of 20 patients (13 males and 7 females) with congenital ptosis were included in the study. All these lids had either good or fair levator function. Amount of ptosis in all lids were measured before surgery and their mean calculated. Single surgeon performed the three sutures levator aponeurosis tuck procedure on all these lids. Degree of ptosis, after surgery was measured on multiple occasions and mean of measures of last follow-up was calculated. At this stage, the patients' satisfaction level was also documented.
Mean amount of ptosis was 3.25 +/-0.99 mm before surgery and 0.33 +/- 0.56 mm after surgery (p < 0.0001). Satisfaction level of 18 (90%) patients was 70-90%, while in 2 (10%) patients it was 50-60%.
Levator aponeurosis tuck procedure had good cosmetic outcome in patients with congenital ptosis having good and fair levator function in this series.
确定先天性上睑下垂患者采用三种缝线腱膜折叠术的效果。
一项准实验研究。
2004年1月至2005年1月在白沙瓦开伯尔教学医院眼科。
本研究纳入20例（13例男性和7例女性）先天性上睑下垂患者的24只眼。所有这些眼睑的提上睑肌功能均良好或尚可。术前测量所有眼睑的上睑下垂量并计算其平均值。由单一外科医生对所有这些眼睑实施三种缝线提上睑肌腱膜折叠术。术后多次测量上睑下垂程度，并计算最后一次随访测量值的平均值。在此阶段，还记录了患者的满意度。
术前上睑下垂平均量为3.25±0.99毫米，术后为0.33±0.56毫米（p<0.0001）。18例（90%）患者的满意度为70 - 90%，而2例（10%）患者的满意度为50 - 60%。
在本系列研究中，提上睑肌腱膜折叠术对于提上睑肌功能良好和尚可的先天性上睑下垂患者具有良好的美容效果。
