Tan Marcus Chun Jin, Young Stephanie, Amrith Shantha, Sundar Gangadhara
Yong Loo Lin School of Medicine, National University Health System, Singapore.
Orbit. 2012 Apr;31(2):107-13. doi: 10.3109/01676830.2011.638095.
To study the prevalence of eyelid, lacrimal, orbital conditions in an outpatient and surgical environment in a tertiary care hospital in Singapore.
An 8-month study was conducted in the Oculoplastics Department at the National University Health System (NUHS). Demographic data, diagnosis details and surgical records were compared.
Of 623 patients seen over 906 visits, prevalence was as follows: eyelid (60.3%), orbital (20.6%), lacrimal (16.3%), dysthyroid exophthalmos (6.0%). Sixty-two (10.0%) patients had more than one condition. The most common conditions encountered included blepharoptosis, lacrimal obstruction, and orbital deformities (including fractures). During the same period, distribution of surgical procedures was as follows: eyelid (77.4%), lacrimal (13.1%) and orbit (9.5%). Interestingly, epiblepharon correction comprised 9.5% of the clinical/surgical cases.
Although eyelid related conditions are most common, lacrimal and orbital pathologies cause significant morbidity. Oculoplastics specialists and ophthalmologists should consider placing more emphasis on surgical training specific to such conditions. We also propose separate classifications for epiblepharon and thyroid eye disease in the International Classification of Diseases (ICD) as they are unique clinical problems in their own right. A postoperative status will also help efficiently classify patients as such patients are at risk for related complications subsequently. An examination of healthcare budget allocation for such conditions is also suggested.
研究新加坡一家三级护理医院门诊及手术环境下眼睑、泪器、眼眶疾病的患病率。
在国立大学卫生系统（NUHS）眼整形科进行了一项为期8个月的研究。对人口统计学数据、诊断细节和手术记录进行了比较。
在906次就诊的623例患者中，患病率如下：眼睑疾病（60.3%）、眼眶疾病（20.6%）、泪器疾病（16.3%）、甲状腺相关性眼病（6.0%）。62例（10.0%）患者患有不止一种疾病。最常见的疾病包括上睑下垂、泪道阻塞和眼眶畸形（包括骨折）。同期手术操作分布如下：眼睑手术（77.4%）、泪器手术（13.1%）和眼眶手术（9.5%）。有趣的是，睑裂斑矫正占临床/手术病例的9.5%。
虽然眼睑相关疾病最为常见，但泪器和眼眶疾病会导致严重的发病率。眼整形专科医生和眼科医生应考虑更加重视针对此类疾病的手术培训。我们还提议在国际疾病分类（ICD）中为睑裂斑和甲状腺眼病设立单独的分类，因为它们本身就是独特的临床问题。术后状态也将有助于有效地对患者进行分类，因为此类患者随后有发生相关并发症的风险。还建议对针对此类疾病的医疗保健预算分配进行审查。
