Tian Ni, Zheng Yong-xin, Zhou Shi-you, Liu Jin-ling, Huang Dan-ping, Zhao Hai-yan
Department of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510060, China.
Zhonghua Yan Ke Za Zhi. 2007 Dec;43(12):1069-72.
To investigate the clinical characteristics of moderate and severe Marcus-Gunn jaw winking synkinesis and it surgical management.
Thirty-three patients with Marcus-Gunn syndrome were enrolled from 1997 to 2003 in Zhongshan Ophthalmic Center. The clinical characteristics were analyzed based on the records. Unilateral levator excision and frontalis flap suspension were performed for the correction of ptosis and the results were analyzed.
The follow-up period varied from 1 to 6 years. Sixteen patients were male and 17 were female. The left eye was involved in 22 patients and the right eye in 11 patients. There was no family history. The amount of ptosis in each patient was more than 2 mm. At the end of observation, good results were achieved for ptosis correction in 26 (87%) of 30 patients, fair results in 3 (10%) patients.
The ptosis of patients with moderate and severe Marcus-Gunn syndrome needs to be treated surgically. Unilateral frontalis flap suspension combined levator excision can correct ptosis very well for patients with moderate and severe Marcus-Gunn syndrome.
探讨中重度Marcus-Gunn 下颌瞬目综合征的临床特征及其手术治疗方法。
1997年至2003年在中山眼科中心收治33例Marcus-Gunn综合征患者。根据病历分析其临床特征。采用单睑提肌切除术及额肌瓣悬吊术矫正上睑下垂，并对结果进行分析。
随访时间为1至6年。男性16例，女性17例。左眼受累22例，右眼受累11例。均无家族史。每位患者上睑下垂量均超过2mm。观察结束时，30例患者中26例（87%）上睑下垂矫正效果良好，3例（10%）效果一般。
中重度Marcus-Gunn综合征患者的上睑下垂需手术治疗。单睑提肌切除术联合额肌瓣悬吊术能很好地矫正中重度Marcus-Gunn综合征患者的上睑下垂。
