麻痹性兔眼症中植入金片手术结果的二维分析
2D Analysis of Gold Weight Implantation Surgery Results in Paralytic Lagophthalmos.
作者信息
Cabuk Kubra Serefoğlu, Karabulut Gamze Ozturk, Fazil Korhan, Nacaroglu Senay Asik, Gunaydin Zehra Karaagac, Taskapili Muhittin
机构信息
Department of Ophthalmology, University of Health Sciences, Beyoglu Eye Training and Research Hospital, Istanbul, Turkey.
Department of Ophthalmology, Dunyagoz Hospital, Istanbul, Turkey.
出版信息
Beyoglu Eye J. 2021 Sep 27;6(3):200-205. doi: 10.14744/bej.2021.95866. eCollection 2021.
OBJECTIVES
Gold weight implantation in the upper eyelid is a frequently performed treatment for paralytic lagophthalmos to prevent corneal exposure. A margin reflex distance of -1 and -2 (MRD1, MRD2), the palpebral fissure height (PFH), and the vertical lagophthalmos (LV) are 1-dimensional (1D) measurements used in follow-up. Because the exposure area is 2-dimensional (2D), this study was designed to investigate the results using both 1D and 2D analysis.
METHODS
Ten patients who underwent pretarsal suborbicularis oculi gold weight implantation were included in the study. Photographs were taken with a digital camera and the images were analyzed using ImageJ software (US National Institutes of Health, Bethesda, MD, USA). The lagophthalmos area (LA) and ocular surface area (OSA) were measured in 2D in addition to the MRD1, MRD2, PFH, LV. Preoperative and postoperative values were compared using the Wilcoxon signed-rank test. Associations between parameters were evaluated using Spearman's correlation analysis.
RESULTS
The mean age of the patients (7 male, 3 female) was 39.6±16.4 years (range: 14-60 years). The mean implant weight was 1.46 g (0.8-1.6 g). There were significant reductions in the MRD1, MRD2, PFH, OSA, LV, and LA values after surgery (p<0.05). The weight of the gold implant had a strong correlation with the PFH, OSA, MRD1, and MRD2, but not the LV or LA, preoperatively. The OSA was strongly correlated with the MRD1, PFH, and the implant weight, but not the MRD2. The LA was strongly correlated with the LV, preoperatively. In the postoperative period, the OSA was strongly correlated with the PFH and the MRD2 but not the MRD1, while the LA was strongly correlated with the LV, MRD1, and the PFH.
CONCLUSION
It is easy to obtain 2D measurements using digital image analysis software, and they proved to be accurate and correlated strongly with 1D measurements. The OSA and LA measurements were significantly lower following upper eyelid gold weight implantation. The PFH and LV were compatible with the OSA and LA, preoperatively.
目的
在上睑植入金片是治疗麻痹性兔眼症以预防角膜暴露的常用方法。随访中使用的一维（1D）测量指标包括睑缘反射距离-1和-2（MRD1、MRD2）、睑裂高度（PFH）和垂直性兔眼症（LV）。由于暴露面积是二维（2D）的，本研究旨在通过一维和二维分析来研究结果。
方法
本研究纳入了10例行睑板前眼轮匝肌下金片植入术的患者。用数码相机拍照，并用ImageJ软件（美国国立卫生研究院，马里兰州贝塞斯达）分析图像。除了MRD1、MRD2、PFH、LV外，还二维测量了兔眼症面积（LA）和眼表面积（OSA）。术前和术后的值采用Wilcoxon符号秩检验进行比较。参数之间的关联采用Spearman相关分析进行评估。
结果
患者平均年龄为39.6±6.4岁（7例男性，3例女性；年龄范围：14 - 60岁）。平均植入金片重量为1.46 g（0.8 - 1.6 g）。术后MRD1、MRD2、PFH、OSA、LV和LA值均显著降低（p<0.05）。术前，金植入物的重量与PFH、OSA、MRD1和MRD2密切相关，但与LV或LA无关。OSA与MRD1、PFH和植入物重量密切相关，但与MRD2无关。术前，LA与LV密切相关。术后，OSA与PFH和MRD2密切相关，但与MRD1无关，而LA与LV、MRD1和PFH密切相关。
结论
使用数字图像分析软件很容易获得二维测量值，且这些测量值被证明是准确的，并且与一维测量值密切相关。上睑金片植入术后，OSA和LA测量值显著降低。术前，PFH和LV与OSA和LA相符。
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