Sung Mi Sun, Lee Min Joung, Choung Ho-Kyung, Kim Nam Ju, Khwarg Sang In
Department of Ophthalmology, Inje University Sanggye Paik Hospital, Seoul, Korea.
Korean J Ophthalmol. 2010 Feb;24(1):4-9. doi: 10.3341/kjo.2010.24.1.4. Epub 2010 Feb 5.
To describe a series of patients with lower eyelid epiblepharon associated with lower eyelid retraction.
We retrospectively reviewed the medical records of patients who underwent surgery for lower eyelid retraction, epiblepharon, or thyroid-associated ophthalmopathy (TAO) between October 1999 and March 2007. Patients with both lower eyelid retraction and epiblepharon on preoperative examination were included in this study.
Twenty-seven eyelids of 20 patients with both lower eyelid retraction and epiblepharon were enrolled. The underlying causes of lower eyelid retraction included congenital retraction (seven eyelids), congenital fibrosis of the extraocular muscles (CFEOM; seven eyelids), TAO (seven eyelids), post-operative cicatricial retraction (five eyelids), and facial nerve palsy (one eyelid). Eight of 27 eyelids were successfully corrected after the repair of retraction without the repair of epiblepharon, regardless of the cause of lower eyelid retraction. Another four eyelids with epiblepharon associated with TAO resolved after only orbital decompression. Cilia-everting sutures were additionally applied for epiblepharon in another 14 eyelids, 12 of which did not require the excision of a skin fold or the orbicularis muscles. Only one eyelid with mild retraction and epiblepharon underwent simple epiblepharon repair. Recurrence of retraction or epiblepharon developed in three eyelids during follow-up.
In cases with both lower eyelid retraction and epiblepharon, the retraction should be repaired first, and then the epiblepharon can be corrected selectively according to the severity of the case.
描述一系列伴有下睑退缩的下睑内眦赘皮患者。
我们回顾性分析了1999年10月至2007年3月期间因下睑退缩、内眦赘皮或甲状腺相关眼病（TAO）接受手术的患者的病历。术前检查发现同时存在下睑退缩和内眦赘皮的患者纳入本研究。
纳入20例同时患有下睑退缩和内眦赘皮的患者的27只眼睑。下睑退缩的潜在原因包括先天性退缩（7只眼睑）、眼外肌先天性纤维化（CFEOM；7只眼睑）、TAO（7只眼睑）、术后瘢痕性退缩（5只眼睑）和面神经麻痹（1只眼睑）。27只眼睑中有8只在修复退缩后未修复内眦赘皮即成功矫正，无论下睑退缩的原因如何。另外4只与TAO相关的伴有内眦赘皮的眼睑仅在眼眶减压后得到缓解。另外14只眼睑额外应用了翻转睫毛缝线治疗内眦赘皮，其中12只不需要切除皮肤皱襞或眼轮匝肌。只有1只轻度退缩并伴有内眦赘皮的眼睑接受了单纯的内眦赘皮修复。随访期间有3只眼睑出现退缩或内眦赘皮复发。
对于同时存在下睑退缩和内眦赘皮的病例，应先修复退缩，然后根据病情严重程度选择性地矫正内眦赘皮。
