Bethria S M, Patil N D
Dr. Rajendra Prasad Centre for Opthalmic Sciences, All India Institute of Medical Sciences, Ansari Nagar, New Delhi.
Indian J Ophthalmol. 1990 Oct-Dec;38(4):175-7.
10 patients of congenital simple ptosis having 3 to 5 mm of ptosis with variable levator action were operated. All the patients showed a good response of lid lift after instillation of phenyl ephrine drops showing the activity of Muller's muscle. With this technique the lagophthalmos was minimal and good lid folds were formed in all cases. The skin muscle lamina was not excised and was utilized for formation of lid folds which were equal in depth and dynamic in nature. However, the lid lag which is an unavoidable complication of any ptosis surgery was present in the present technique also.
对10例先天性单纯上睑下垂患者进行了手术,这些患者上睑下垂3至5毫米,提上睑肌功能各异。所有患者在滴入去氧肾上腺素滴眼液后上睑提升反应良好,显示了米勒肌的活性。采用该技术,兔眼症最小,所有病例均形成了良好的眼睑皱襞。未切除皮肤肌肉层,而是利用其形成深度相等且具有动态性的眼睑皱襞。然而,本技术同样存在上睑迟滞这一任何上睑下垂手术都不可避免的并发症。