Ocular Tissue Engineering Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Ophthalmic Research Center, Labbafinejad Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Eur J Ophthalmol. 2022 Jan;32(1):140-147. doi: 10.1177/1120672121995744. Epub 2021 Feb 19.
To report the effect of lower eyelid temporalis fascia sling combined with lateral canthoplasty and tarsorrhaphy for paralytic ectropion.
Prospective case series of 10 patients with lower lid paralytic ectropion who were treated with lower eyelid fascia temporalis sling and lateral canthoplasty in addition to lateral tarsorrhaphy as a single-session procedure. Additional medial tarsorrhaphy was applied if the medial lower lid apposition was not adequate at the end of the procedures. Eyelid configuration and function were compared before and after surgery.
The mean age of patients was 65.8 ± 10 years. Mean marginal reflex distance 1 (MRD1) and MRD2 changed from 3.5 ± 1.4 and 8.6 ± 2.4 mm to 2.2 ± 1.4 and 5.3 ± 1.2 mm respectively ( = 0.001 and 0.006). Mean pre-operative lagophthalmos improved from 9.2 ± 4.9 to 3.4 ± 1.3 mm ( = 0.001). The mean follow-up was 28.9 ± 12.1 months. Three patients required additional medial tarsorrhaphy to address residual medial ectropion in the same session.
Combination of lower lid fascia temporalis sling, lateral canthoplasty and tarsorrhaphy as a single-session procedure can effectively improve the functional and aesthetic complications of paralytic ectropion.
报告下眼睑颞筋膜吊带联合外侧眦成形术和睑缘缝合术治疗麻痹性外斜视的效果。
前瞻性系列病例研究，10 例下眼睑麻痹性外斜视患者接受下眼睑筋膜颞肌吊带和外侧眦成形术，外加外侧睑缘缝合术，作为单次手术。如果在手术结束时内侧下眼睑贴附不理想，则应用内侧睑缘缝合术。比较手术前后的眼睑形态和功能。
患者的平均年龄为 65.8±10 岁。平均边缘反射距离 1（MRD1）和 MRD2 分别从 3.5±1.4mm 和 8.6±2.4mm 变为 2.2±1.4mm 和 5.3±1.2mm（ =0.001 和 0.006）。术前平均闭眼不全从 9.2±4.9mm 改善至 3.4±1.3mm（ =0.001）。平均随访时间为 28.9±12.1 个月。3 例患者在同一手术中需要额外的内侧睑缘缝合术来解决残留的内侧外斜视。
下眼睑筋膜颞肌吊带、外侧眦成形术和睑缘缝合术作为单次手术可以有效改善麻痹性外斜视的功能和美容并发症。
