Amer Tarek A, El-Minawi Hisham M, El-Shazly Malak I
Department of Plastic Surgery.
Clin Ophthalmol. 2011;5:891-5. doi: 10.2147/OPTH.S21491. Epub 2011 Jun 30.
Lagophthalmos is a condition that results from facial paralysis causing functional as well as esthetic problems. This condition can be treated by a range of techniques, including tarsorrhaphy, facial slings, and canthopexies. Gold plates provide a solution for temporary or permanent lagophthalmos resulting from facial paralysis. This study discusses the use of gold plates in the treatment of lagophthalmos but with the introduction of gold plates in two different positions in the upper lids.
Group 1 (38 eyes) had a low level of placement (2 mm from the lid margin) of gold plates, while Group 2 (23 eyes) had a high level of placement (5 mm from the lid margin).
Noticeable bulge was seen in 18.4% of Group 1 eyes compared with 13% in Group 2, and migration of the plate occurred in 2.6% and 0% of eyes in Group 1 and Group 2, respectively, as well as ptosis (7.8% and 4.3%) and conjunctival perforation (0% and 4.3%). The degree of improvement of eyelid closure, keratopathy, and visual acuity were the same for both techniques.
Placement of gold plates at a higher level could avoid some of the drawbacks of lower level placement of these plates, such as upper eyelid bulge and ptosis, especially given the thinning of the eyelids and orbicularis muscles that occurs in facial palsy.
兔眼症是一种由面部麻痹导致的病症，会引发功能及美观问题。该病症可通过一系列技术进行治疗，包括睑裂缝合术、面部悬吊术和眦固定术。金片为面部麻痹导致的暂时性或永久性兔眼症提供了一种解决方案。本研究探讨了金片在兔眼症治疗中的应用，但在上眼睑的两个不同位置引入了金片。
第1组（38只眼）金片放置位置较低（距睑缘2毫米），而第2组（23只眼）金片放置位置较高（距睑缘5毫米）。
第1组18.4%的眼睛出现明显隆起，而第2组为13%；第1组和第2组金片移位的眼睛分别为2.6%和0%，上睑下垂分别为7.8%和4.3%，结膜穿孔分别为0%和4.3%。两种技术在眼睑闭合、角膜病变和视力改善程度方面相同。
较高位置放置金片可避免较低位置放置金片的一些缺点，如上睑隆起和上睑下垂，尤其是考虑到面瘫患者眼睑和眼轮匝肌会变薄。
