Faculty of Human Medicine, Zagazig University, Zagazig, Egypt.
Zagazig University, Zagazig, Egypt.
Eur J Ophthalmol. 2022 Jan;32(1):134-139. doi: 10.1177/11206721211005320. Epub 2021 Mar 25.
To compare the efficacy of two different suture types in levator plication for correction of congenital ptosis.
Prospective comparative interventional randomized study involving 42 eyes of 42 patients aged more than 6 years with congenital ptosis and good levator action. The exclusion criteria were as follows: bilateral ptosis, history of previous surgery, fair or poor levator action, and associated other ocular diseases. Patients were randomized into group A, in which double-armed 5/0 polyester Ethibond were used, and group B, in which double-armed 5/0 Coated Vicryl (polyglactin 910) suture material we used. Outcomes including eyelid height and stability of eyelid height over time were compared with follow-up data. The MRD was 4.05 ± 0.36 mm and 3.95 ± 0.34 after 1 week for both groups A and B, respectively. At the end of study follow up period (24 weeks), the MRD was 3.60 ± 0.42 mm in group A, and 2.52 ± 0.85 mm in group B.
No difference in eyelid height between two groups in early postoperative period, but the postoperative eyelid height was more stable over time in the 5/0 polyester Ethibond group (group A) than in the 5/0 Coated Vicryl (polyglactin 910) group (group B).
比较两种不同缝线在提上睑肌折叠术治疗先天性上睑下垂中的疗效。
前瞻性比较干预性随机研究，纳入 42 例年龄大于 6 岁、合并先天性上睑下垂且提上睑肌功能良好的患者的 42 只眼。排除标准为：双侧上睑下垂、既往手术史、提上睑肌功能一般或不佳、合并其他眼部疾病。患者随机分为 A 组（使用双股 5/0 聚对苯二甲酸乙二醇酯 Ethibond）和 B 组（使用双股 5/0 涂层薇乔缝线[聚乳酸 910]）。比较两组的术后即刻和随诊时的眼睑高度和眼睑高度的稳定性。两组术后即刻的 MRD 分别为 4.05±0.36mm 和 3.95±0.34mm。研究随访结束时（24 周），A 组的 MRD 为 3.60±0.42mm，B 组为 2.52±0.85mm。
两组患者术后即刻的眼睑高度无差异，但在术后 24 周的随访中，A 组（5/0 聚酯 Ethibond 组）的术后眼睑高度更稳定。
