Wang Yue, Zhang Yang, Tian Ning
Beijing Tongren Eye Center, Beijing Tongren Hospital of Capital Medical University, Beijing Key Laboratory of Ophthalmology and Visual Science, Beijing, China.
Beijing Institute of Ophthalmology, Beijing Tongren Eye Center, Beijing Tongren Hospital of Capital Medical University, Beijing Key Laboratory of Ophthalmology and Visual Science, Beijing, China.
J Plast Reconstr Aesthet Surg. 2021 Dec;74(12):3431-3436. doi: 10.1016/j.bjps.2021.05.042. Epub 2021 Jun 7.
Buried-suture double-eyelid blepharoplasty is very popular in Asia, especially in China, but there are few reports related to the cause, management, and prevention of suture-related complications of corneal injury and other damages to the eye. The study aims to determine the cause, management, and prevention of suture-related complications after buried-suture double-eyelid blepharoplasty.
A retrospective study was conducted from January 2016 to January 2019 on 12 patients with corneal and other injuries to the eye after they underwent buried-suture double-eyelid blepharoplasty. The study included patients who underwent intermittent and continuous buried-suture double-eyelid blepharoplasty with the following symptoms: red eye, foreign body sensation, photophobia, pain, tears, and decreased vision. The clinical characteristics, examination method, and treatment were noted.
The patients were all females. Ocular injuries included: corneal epithelial punctate or diffuse injury in nine patients, corneal ulcer in two patients, and a perforating eye injury in one patient. The corneal injury was repaired after exposed nylon thread ends were removed. A suture on the surface of the eye penetrating the sclera was detected in one patient, who then had a vitrectomy caused by endophthalmitis.
Suture-removal surgery is indicated to treat suture-related complications. Less experienced clinicians should use an eyelid protection plate to protect the cornea and eyeball during surgery. The conjunctiva of the fornix should be examined after surgery. The clinician should inquire about the operation history in detail and check the conjunctiva of the fornix with an eyelid retractor to avoid misdiagnosis.
埋线双眼皮成形术在亚洲地区非常流行，尤其是在中国，但关于角膜损伤及其他眼部损伤等缝线相关并发症的原因、处理及预防的报道较少。本研究旨在确定埋线双眼皮成形术后缝线相关并发症的原因、处理及预防措施。
对2016年1月至2019年1月期间12例行埋线双眼皮成形术后出现角膜及其他眼部损伤的患者进行回顾性研究。研究纳入了接受间断和连续埋线双眼皮成形术且出现以下症状的患者：眼红、异物感、畏光、疼痛、流泪及视力下降。记录其临床特征、检查方法及治疗情况。
患者均为女性。眼部损伤包括：9例角膜上皮点状或弥漫性损伤，2例角膜溃疡，1例眼球穿通伤。取出外露的尼龙线头后修复角膜损伤。1例患者检测到眼表缝线穿透巩膜，该患者随后因眼内炎行玻璃体切除术。
对于缝线相关并发症应行拆线手术。经验不足的临床医生在手术过程中应使用眼睑保护板保护角膜和眼球。术后应检查穹窿部结膜。临床医生应详细询问手术史，并用眼睑拉钩检查穹窿部结膜以避免误诊。
