Chambers Christopher B, Moe Kristen S
Division of Oculoplastic Surgery, Department of Ophthalmology, University of Washington School of Medicine, Seattle, WA, USA.
Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, University of Washington School of Medicine, Seattle, WA, USA; Division of Facial Plastic and Reconstructive Surgery, Department of Neurological Surgery, University of Washington School of Medicine, Seattle, WA, USA.
Facial Plast Surg Clin North Am. 2017 Feb;25(1):25-36. doi: 10.1016/j.fsc.2016.08.007.
Periorbital scarring with eyelid retraction can have serious visual effects and can lead to loss of vision or even loss of the eye. Understanding of eyelid anatomy and the delicate balance of its structural supports is critical for the identification of the eyelid disorder responsible for the cicatrix and helps to guide treatment. The 2-finger test and lateral distraction of the lid can also be of significant help in proper diagnosis of the underlying disorder. Proper reconstruction with respect to the anterior and posterior lamellae helps to ensure a favorable outcome.
伴有眼睑退缩的眶周瘢痕会产生严重的视觉影响,可能导致视力丧失甚至眼球缺失。了解眼睑解剖结构及其结构支撑的微妙平衡对于识别导致瘢痕形成的眼睑疾病至关重要,并有助于指导治疗。两指试验和眼睑外侧牵拉对准确诊断潜在疾病也有很大帮助。针对前后层进行适当的重建有助于确保获得良好的效果。