Yabe Tetsuji, Tsuda Tomoyuki, Hirose Shunsuke, Ozawa Toshiyuki
From the *Department of Plastic and Reconstructive Surgery, Ishikiri-Seiki Hospital; †Department of Plastic and Reconstructive Surgery, Osaka City University Medical School, Osaka, Japan.
Ann Plast Surg. 2015 May;74(5):520-3. doi: 10.1097/SAP.0b013e3182978885.
There have been numerous reports on the use of aponeurotic surgery to correct involutional blepharoptosis. However, it is still difficult to determine optimal eyelid level during operation. Here we present our new method to adjust eyelid level intraoperatively. After the aponeurosis was temporally sutured to the tarsus, while still in the supine position, the patient was asked to look up, and the position of the eyelid margin was confirmed. The margin should be located above the pupil but within the cornea while the patient gazes up. And it is ideal if the eyelid position is located in the upper half of this range. Although 3 of 29 patients were reoperated on in the follow-up period, only 1 patient required readjustment in the perioperative period. Our method is simple, easy and reduces operative time, because it is not necessary to change patient position during the operation.
关于应用腱膜手术矫正退行性上睑下垂已有大量报道。然而，术中仍难以确定最佳的眼睑高度。在此，我们介绍一种术中调整眼睑高度的新方法。在腱膜暂时缝合至睑板后，患者仍处于仰卧位时，嘱其向上看，确认睑缘位置。当患者向上注视时，睑缘应位于瞳孔上方但在角膜范围内。且眼睑位置位于该范围的上半部分则较为理想。尽管29例患者中有3例在随访期再次手术，但围手术期仅1例患者需要重新调整。我们的方法简单易行，且缩短了手术时间，因为术中无需改变患者体位。
