Galindo-Ferreiro Alicia, Fernandez Estrella, Weill Daniel, Zornoff Denise C M, Khandekar Rajiv, Corrente Jose Eduardo, Schellini Silvana A
a Department of Ophthalmology , Rio Hortega University Hospital , Valladolid , Spain.
b Department of Ophthalmology, Hospital Clínic de Barcelona , Institut Clínic d'Oftalmologia , Barcelona , Spain.
Semin Ophthalmol. 2019;34(3):125-130. doi: 10.1080/08820538.2019.1596290. Epub 2019 Mar 30.
: To survey the opinion of oculoplastic surgeons on the assessment and management of lower eyelid retraction (LLR). : A web-based survey queried oculoplastic surgeon members of Ojoplast, Spanish and Brazilian Oculoplastic Societies on the management of LLR. The frequency and percentage proportions of the responses were analyzed. : One hundred ninety-six oculoplastic surgeons participated in the survey. The main cause of LLR is post-blepharoplasty (62;31.6%). The most used sign to detect LLR is scleral show. The most common approaches to managing LLR are lateral canthal surgery (164/593;27.6%), autogenous spacers (148/593; 24.9%) and retractor release (131/593;22.1%). The preferred autogenous graft material includes ear cartilage (102/260;39.2%). The majority of surgeons (161/314; 51.3%) recommend massage or steroids injection (80/314;25.5%) for early post-blepharoplasty LLR, while, 54.1% (106/196) of participants suggested waiting for at least six months prior to surgical intervention. Frost suture is used after most LLR surgeries (154/196;91.1%). Incomplete correction is the main complication (111/310;35.8%) of LLR surgery. For mild LLR, 48% of the responders prefer clinical treatment; conversely, severe cases routinely require combined surgical techniques. : Oculoplastic surgeons frequently diagnose LLR based on scleral show. LLR management depends on the cause and severity of lid retraction. Mild cases, in general, receive clinical treatment and severe cases need a combination of surgical techniques and grafts.
调查眼科整形医生对下睑退缩（LLR）评估与处理的意见。
一项基于网络的调查询问了Ojoplast、西班牙和巴西眼科整形协会的眼科整形医生会员关于LLR的处理情况。对回复的频率和百分比进行了分析。
196名眼科整形医生参与了该调查。LLR的主要原因是睑成形术后（62例；31.6%）。检测LLR最常用的体征是巩膜暴露。处理LLR最常用的方法是外眦手术（164/593；27.6%）、自体填充物（148/593；24.9%）和睑板肌松解术（131/593；22.1%）。首选的自体移植材料包括耳软骨（102/260；39.2%）。大多数外科医生（161/314；51.3%）建议对睑成形术后早期的LLR进行按摩或注射类固醇（80/314；25.5%），而54.1%（106/196）的参与者建议在手术干预前至少等待6个月。大多数LLR手术后使用Frost缝线（154/196；91.1%）。矫正不完全是LLR手术的主要并发症（111/310；35.8%）。对于轻度LLR，48%的受访者倾向于临床治疗；相反，严重病例通常需要联合手术技术。
眼科整形医生常根据巩膜暴露诊断LLR。LLR的处理取决于睑退缩的原因和严重程度。一般来说，轻度病例接受临床治疗，严重病例需要手术技术和移植的联合应用。
