Dagi Glass Lora R, Elliott Alexandra T
Ophthalmic Plastic Surgery Service, Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts.
Department of Ophthalmology, Boston Children's Hospital and Harvard Medical School, Boston, Massachusetts.
J AAPOS. 2016 Oct;20(5):459-461. doi: 10.1016/j.jaapos.2016.05.018. Epub 2016 Sep 21.
Current techniques for repairing large eyelid colobomas require preparation of other tissue sites and occasionally more than one procedure. We present a technique that requires only one procedure and is limited to the colobomatous eyelid; in addition, it is specifically designed to help avoid postoperative astigmatic and obstructive amblyopia. Outcomes are demonstrated in 3 cases of hemifacial microsomia. Large colobomas on the upper eyelid can be successfully and aesthetically repaired with only one procedure, incising only the congenitally abnormal eyelid.
目前修复大型眼睑缺损的技术需要准备其他组织部位,有时还需要不止一次手术。我们提出一种仅需一次手术且仅限于缺损眼睑的技术;此外,该技术经过专门设计,有助于避免术后散光和阻塞性弱视。在3例半侧颜面短小畸形病例中展示了治疗效果。仅通过一次手术,仅切开先天性异常的眼睑,就能成功且美观地修复上眼睑的大型缺损。