21例先天性上睑裂缺患者的手术结果
Surgical outcome of 21 patients with congenital upper eyelid coloboma.
作者信息
Lodhi Arshad Ali, Junejo Sameen Afzal, Khanzada Mahtab Alam, Sahaf Imran Akram, Siddique Zahid Kamal
机构信息
Department of Ophthalmology, Liaquat University Eye Hospital, Hyderabad, Pakistan.
出版信息
Int J Ophthalmol. 2010;3(1):69-72. doi: 10.3980/j.issn.2222-3959.2010.01.16. Epub 2010 Mar 18.
AIM
To evaluate the surgical outcome of congenital upper eyelid coloboma repair.
METHODS
All patients underwent complete ophthalmic and general examination before going to surgery, and then examination under anesthesia was performed to assess the site and size of eyelid defect, conjunctival involvement. The status of cornea and ocular motility with forced duction test was also being noted. The surgical procedure was performed according to the size of defect.
RESULTS
Out of 21 cases of congenital upper eyelid coloboma, 18 occurred in isolation with upper eyelid medial defect, 13 were bilateral and 5 were unilateral. Others were associated with Goldenhar syndrome and CHARGE syndrome with bilateral upper lid medial defects. All patients were presented for surgical corrections during age of 2.5-4.0 years except one that presented at 25 years of age. Cosmetically surgical results were acceptable, except one that was already presented with opaque corneal.
CONCLUSION
In this study, overall surgical results were satisfactory except one that was presented late with compromised cornea.
目的
评估先天性上睑缺损修复的手术效果。
方法
所有患者在手术前均接受了全面的眼科和全身检查，然后在麻醉下进行检查，以评估眼睑缺损的部位和大小、结膜受累情况。同时记录角膜状况和强制牵拉试验下的眼球运动情况。根据缺损大小进行手术操作。
结果
21例先天性上睑缺损患者中，18例为孤立性上睑内侧缺损，13例为双侧，5例为单侧。其他患者与Goldenhar综合征和CHARGE综合征相关，伴有双侧上睑内侧缺损。除1例25岁就诊的患者外，所有患者均在2.5至4.0岁期间接受手术矫正。除1例已出现角膜混浊的患者外，美容手术效果均可接受。
结论
在本研究中，除1例因角膜受损就诊较晚的患者外，总体手术效果令人满意。
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