Department of Plastic and Reconstructive Surgery, School of Medicine, Keio University, and Keio University Hospital, Tokyo, Japan.
J Plast Reconstr Aesthet Surg. 2010 Dec;63(12):2004-12. doi: 10.1016/j.bjps.2010.01.013. Epub 2010 Feb 23.
The present report introduces our correction method for blepharoptosis, in which major incisions are made on neither the skin nor the conjunctiva of the upper eyelid, and no dissection of the eyelid tissues is required.
After turning the upper eyelid inside out, threads are introduced into it through the conjunctiva close to the superior fornix. Then the superior palpebral levator muscle and the tarsus are connected using threads. This thread application is performed at two-to-four locations of the upper eyelid. By tightening the threads, the tarsus is elevated and the ptotic eyelid is corrected. A total of 624 eyelids in 390 patients with mild or moderate ptosis were operated on with this surgical method. Effectiveness of the treatment was evaluated referring to the degree of improvement. Furthermore, frequencies of complications were evaluated.
Among 416 eyelids with mild ptosis, complete correction of ptosis was achieved with 406 eyelids (97.5%). Among 208 eyelids with moderate ptosis, improvement was achieved with 185 eyelids (88.9%), with complete correction for 156 eyelids (75%).
Since the present method enables effective correction of the blepharoptosis with a simple technique, minimised recovery time and no scarring, it provides a useful surgical option for the treatment of mild and moderate blepharoptosis.
本报告介绍了一种我们用于矫正上睑下垂的方法，该方法在上睑的皮肤和结膜均不做大切口，也无需对眼睑组织进行解剖。
将上睑翻转后，通过靠近上穹窿的结膜将线引入。然后用线将上睑提肌和睑板连接起来。在上睑的两个至四个位置进行这种线应用。通过收紧线，可以提升睑板，矫正下垂的眼睑。我们用这种手术方法对 390 例轻度或中度上睑下垂的 624 只眼进行了手术。根据改善程度评估治疗效果。此外，还评估了并发症的发生频率。
在 416 例轻度上睑下垂的眼睑中，406 例（97.5%）完全矫正了上睑下垂。在 208 例中度上睑下垂的眼睑中，185 例（88.9%）得到改善，其中 156 例（75%）完全矫正。
由于本方法采用简单的技术，可有效矫正上睑下垂，恢复时间短，无瘢痕，因此为治疗轻度和中度上睑下垂提供了一种有用的手术选择。
