Ma I-Hsin, Kuo Bo-I, Hou Yu-Chih
Department of Ophthalmology, National Taiwan University Hospital, College of Medicine, National Taiwan University, 7, Chung-Shan South Road, Taipei, Taiwan.
Department of Ophthalmology, Cathay General Hospital, 280, Ren-Ai Road, Sec 4, Taipei, Taiwan.
Int Ophthalmol. 2019 Jun;39(6):1387-1390. doi: 10.1007/s10792-018-0936-9. Epub 2018 Apr 27.
To present recurrent corneal erosion (RCE) caused by late suture exposure after blepharoplasty.
Four patients who have unilateral RCE were found to have previous blepharoplasty. The RCE was associated with late suture exposure. The clinical courses, characteristics, methods to identify the suture exposure and treatment were presented.
The clinical presentations including local erosion of upper bulbar conjunctiva, corneal abrasion lines, local corneal epithelial defects with rough border, and subepithelial opacity were noticed in all four patients. RCE symptoms exaggerated in eye blinking and did not respond to artificial tears treatment. Erosion recurred soon after the removal of therapeutic contact lenses. They underwent blepharoplasty 1-10 years before RCE emerged, and the RCE lasted 1-8 months before suture exposure was found. RCE healed within 1 week after suture removal.
Suture exposure may occur several years after blepharoplasty and could cause RCE. Thorough exploration of the fornix by double eyelid eversion can identify the hidden sutures in such patients.
介绍睑成形术后迟发性缝线暴露所致复发性角膜糜烂（RCE）。
4例单侧RCE患者既往均有睑成形术史。RCE与迟发性缝线暴露有关。介绍了其临床病程、特点、缝线暴露的识别方法及治疗情况。
所有4例患者均出现睑球结膜局部糜烂、角膜擦伤线、边界粗糙的局部角膜上皮缺损及上皮下混浊等临床表现。RCE症状在眨眼时加重，人工泪液治疗无效。治疗性隐形眼镜摘除后糜烂很快复发。RCE出现前1 - 10年他们接受了睑成形术，RCE持续1 - 8个月后发现缝线暴露。缝线拆除后1周内RCE愈合。
睑成形术后数年可能发生缝线暴露并可导致RCE。通过双眼皮外翻彻底探查穹窿部可识别此类患者隐藏的缝线。
