Nacaroglu Senay Asik, Karabulut Gamze Ozturk, Cabuk Kubra Serefoglu, Fazil Korhan, Taskapili Muhittin
Department of Ophthalmology, University of Health Sciences, Beyoglu Eye Training and Research Hospital, Istanbul, Turkey.
Beyoglu Eye J. 2022 May 27;7(2):109-114. doi: 10.14744/bej.2022.75537. eCollection 2022.
The aim of the study was to evaluate the effect of changes in the horizontal and vertical palpebral fissure dimensions on surgical success performed due to entropion and ectropion of the lower eyelid.
The present research was conducted as a retrospective and interventional case series who had undergone involutional lower eyelid malposition repair with a lateral tarsal strip (LTS) alone, LTS with a medial spindle, and LTS with the advancement of the lower eyelid retractors. The subjects' medical records, including demographic and clinic characteristics, pre-operative assessment of horizontal eyelid laxity, and surgical outcomes, were reviewed. The distance between the pupillary light reflex and the lower-eyelid margin marginal reflex distance 2 (MRD-2) and the horizontal palpebral aperture (HPA) width were measured using the Image J program in the pre-operative and post-operative 6-month follow-up. The correlation between surgical success, changes in pre-operative and post-operative MRD-2, and HPA width was assessed by the Spearman rank correlation test.
A total of 66 eyelids of 48 patients were included in the study. This cohort comprised of 41 males (86.4%) and 7 females (13.6%), 18 of whom underwent bilateral surgery. The pre-operative mean MRD-2 was 7.13 ± 1.98 mm, and the post-operative 6-month mean MRD-2 was 6.21±1.19 mm (p<0.01). The mean post-operative HPA width was statistically significantly higher in comparison with the mean pre-operative HPA width (27.35±2.41, 26.89±2.39, p=0.02, respectively). There was no correlation between success rate and changes in horizontal and vertical palpebral fissure dimensions.
LTS surgery is a method that turns the shortened HPA width to normal and enables the successful correction of the lower eyelid malpositions.
本研究旨在评估水平和垂直睑裂尺寸变化对因下睑内翻和外翻而进行的手术成功率的影响。
本研究为回顾性干预性病例系列研究，纳入了仅接受外侧睑板条（LTS）手术、LTS联合内侧纺锤形皮瓣手术以及LTS联合下睑缩肌前移手术的退行性下睑位置异常修复患者。回顾了患者的病历，包括人口统计学和临床特征、术前眼睑水平松弛度评估以及手术结果。在术前和术后6个月随访时，使用Image J程序测量瞳孔光反射与下睑缘边缘反射距离2（MRD-2）之间的距离以及水平睑裂宽度（HPA）。通过Spearman等级相关检验评估手术成功率、术前和术后MRD-2变化以及HPA宽度之间的相关性。
本研究共纳入48例患者的66只眼睑。该队列包括41例男性（86.4%）和7例女性（13.6%），其中18例接受了双侧手术。术前平均MRD-2为7.13±1.98mm，术后6个月平均MRD-2为6.21±1.19mm（p<0.01）。术后平均HPA宽度在统计学上显著高于术前平均HPA宽度（分别为27.35±2.41、26.89±2.39，p=0.02）。成功率与水平和垂直睑裂尺寸变化之间无相关性。
LTS手术是一种可将缩短的HPA宽度恢复正常并成功矫正下睑位置异常的方法。
