Levine M R, Chu A
Department of Ophthalmology, Case Western Reserve University, School of Medicine, Cleveland, Ohio.
Ophthalmic Surg. 1991 Feb;22(2):90-4.
We describe a cutaneous approach for retraction of the upper eyelid which incorporates a levator aponeurotic/Mueller's muscle recession with maintenance of the normal orbital septum levator aponeurosis anatomy. With success defined as asymmetry between the two eyelids of 1 mm or less, with a marginal reflex distance as close to 4 mm as possible, this technique was successful in 87% of 15 consecutive patients. All patients reported improved comfort. This approach is quick and easy, bleeding is minimal, height and contour are predictable, the upper eyelid crease is preserved, and spacers are avoided, with less postoperative eyelid thickening and reaction.
我们描述了一种用于上睑退缩的皮肤入路方法，该方法结合了提上睑肌腱膜/米勒肌后徙术，同时保留了正常的眶隔提上睑肌腱膜解剖结构。成功的定义为双眼睑不对称不超过1毫米，边缘反射距离尽可能接近4毫米，在连续15例患者中，该技术成功率为87%。所有患者均表示舒适度有所提高。这种方法快速简便，出血极少，高度和轮廓可预测，保留了上睑皱襞，避免了使用间隔物，术后眼睑增厚和反应较小。
