Mittelviefhaus H
Universitäts-Augenklinik, Freiburg i. Br.
Fortschr Ophthalmol. 1990;87(3):308-11.
Temporary closure of the lids is an obvious handicap for elderly tumor patients after the first step of the modified Hughes' tarsoconjunctival flap. So far, it has been suggested that the duration of lid closure should be between 2 weeks and 3 months. We report on 36 patients who were operated on between 1984 and 1989. In 16 patients, the lids were divided after 3 weeks. In another 13 patients, they were divided up to the end of the 5th week postoperatively. Neither dehiscence of the wounds nor tissue necrosis appeared. No progressive lowering of the lid margin occurred. This observation suggests that division of the lids can be performed without risk after 3 to 4 weeks.
对于接受改良休斯睑板结膜瓣第一步手术的老年肿瘤患者而言，眼睑暂时闭合是一个明显的障碍。到目前为止，有人建议眼睑闭合的持续时间应在2周至3个月之间。我们报告了1984年至1989年间接受手术的36例患者。16例患者在3周后分开眼睑。另外13例患者在术后第5周结束时分开眼睑。伤口均未裂开，也未出现组织坏死。睑缘没有逐渐下移。这一观察结果表明，3至4周后分开眼睑可无风险地进行。
