Eye Plastic Unit, Eye Research Center, Rassoul Akram Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Ophthalmic Plast Reconstr Surg. 2013 Jul-Aug;29(4):249-55. doi: 10.1097/IOP.0b013e31828ecfb9.
To assess the results and satisfaction after transconjunctival lower blepharoplasty, evaluate the effect of associated aesthetic procedures on the satisfaction, and compare surgeon versus subjects' perspective on the results.
In a retrospective cross-sectional study, a chart review was performed on transconjunctival lower blepharoplasty procedures performed by 1 eye plastic surgeon from April 2003 to April 2009. Subjects with less than 6 months follow-up time or reoperation were excluded. Demographic data, associated surgical procedures, intra and postoperative complications, subjects and surgeon's perspectives on postoperative results, photographs (before and after the operation), and satisfaction score (Visual analogue scale score) at last follow-up time were recorded.
There were 164 subjects (133 women, 81.1%) with mean age of 50.7 years (standard deviation=11.6, range: 23-80). Mean follow-up time was 22.8 months (standard deviation=11.5, range=6-60 months). Complications, observed by the surgeon and subjects, were undercorrected fat excision (4.9% vs. 3.7%), eyelid retraction (1.2% vs. 1.2%), and tear trough deformity (9.7% vs. 0.6%). Subjects reported less complication rate (5.4%) than surgeon (15.8%). Mean visual analogue scale score was 92.8 (standard deviation=0.36), which was significantly higher in subjects who had simultaneous upper blepharoplasty and lower in subjects with postoperative eyelid retraction.
Transconjunctival lower blepharoplasty is associated with a high satisfaction. Subjects reported less complication rate than surgeon especially for tear trough deformity. Postoperative eyelid retraction significantly decreased and simultaneous upper blepharoplasty procedure significantly increased the satisfaction.
评估经结膜下睑成形术的效果和满意度，评估相关美容手术对满意度的影响，并比较外科医生和患者对结果的看法。
这是一项回顾性的横断面研究，对 1 位眼部整形外科医生在 2003 年 4 月至 2009 年 4 月期间进行的经结膜下睑成形术进行了病历回顾。排除随访时间少于 6 个月或再次手术的患者。记录人口统计学数据、相关手术、术中及术后并发症、患者和外科医生对术后结果的看法、照片（术前和术后）以及最后随访时的满意度评分（视觉模拟评分）。
共有 164 名患者（133 名女性，81.1%），平均年龄为 50.7 岁（标准差=11.6，范围：23-80）。平均随访时间为 22.8 个月（标准差=11.5，范围：6-60 个月）。外科医生和患者观察到的并发症包括切除的脂肪未完全矫正（4.9%比 3.7%）、眼睑退缩（1.2%比 1.2%）和泪沟畸形（9.7%比 0.6%）。患者报告的并发症发生率（5.4%）低于外科医生（15.8%）。平均视觉模拟评分（VAS）为 92.8（标准差=0.36），同时行上睑成形术的患者评分较高，术后出现眼睑退缩的患者评分较低。
经结膜下睑成形术的满意度较高。患者报告的并发症发生率低于外科医生，尤其是泪沟畸形。术后眼睑退缩显著减少，同时行上睑成形术可显著提高满意度。
