Illinois Eye and Ear Infirmary, University of Illinois at Chicago, Department of Ophthalmology and Visual Sciences, Chicago, Illinois, USA.
Ophthalmic Plast Reconstr Surg. 2012 May-Jun;28(3):224-7. doi: 10.1097/IOP.0b013e31824a4b0c.
To describe a technique for treatment of lower-eyelid tarsal ectropion using the Putterman ptosis clamp for excision of conjunctiva and Mueller's muscle as an adjunct to the lateral canthal tendon tuck.
Retrospective case series. Patients with moderate-to-severe lower-eyelid ectropion underwent lateral canthal tendon tucking followed by eversion of the lower eyelid over a desmarres retractor, separation of the lower-eyelid conjunctiva and Mueller's muscle from the underlying capsulopalpebral fascia, placement of the Putterman ptosis clamp, and resection of the incarcerated tissue followed by closure of the conjunctiva and the lateral canthus.
Six patients and 8 eyes were studied. Of the 8 eyes, 6 (75%) had complete resolution of tarsal ectropion and 2 (25%) had mild residual ectropion at last follow up. All 8 eyes (100%) had symptomatic improvement and 0 patients required re-operation. There were no noted severe adverse events.
Lower-eyelid conjunctival Mueller's muscle resection using the Putterman ptosis clamp as an adjunct to lateral canthal tendon reinforcement is a safe and effective procedure in the treatment of lower-eyelid tarsal ectropion.
描述一种使用 Putterman 眼睑下垂夹切除结膜和 Mueller 肌治疗下眼睑睑板外翻的技术，作为外侧眦腱收紧术的辅助手段。
回顾性病例系列研究。中重度下眼睑外翻患者行外侧眦腱收紧术，然后用 Desmarres 牵开器将下眼睑外翻，在下眼睑结膜和Mueller 肌与眼轮匝肌筋膜之间分离，放置 Putterman 眼睑下垂夹，切除嵌顿组织，然后关闭结膜和外侧眦。
6 例患者的 8 只眼纳入研究。8 只眼中，6 只眼（75%）下睑板完全复位，2 只眼（25%）在末次随访时有轻度残余下睑板外翻。8 只眼（100%）的症状均有改善，无患者需要再次手术。无严重不良事件发生。
下眼睑结膜 Mueller 肌切除术联合外侧眦腱加强术，使用 Putterman 眼睑下垂夹作为辅助手段，是治疗下睑板外翻的一种安全有效的方法。
