Youn Hyun Chul, Lee Seunghwan, Lee Ju-Hyang
Department of Ophthalmology, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Republic of Korea.
Department of Ophthalmology, Yeongdeok Asan Hospital, University of Ulsan College of Medicine, Yeongdeok, Seoul, Republic of Korea.
J Ophthalmol. 2022 Jul 11;2022:8469812. doi: 10.1155/2022/8469812. eCollection 2022.
A retrospective review of was conducted of patients who received modified epiblepharon repair preserving orbicularis oculi muscle from April 2016 to October 2018. Removal of the orbicularis oculi muscle was minimally performed with eyelash rotating sutures and epicanthal weakening procedure. The preoperative severity of epiblepharon was classified according to skin fold height and cilia-corneal touch. Main postoperative outcomes were evaluated by functional success and cosmetic satisfaction.
A total of 208 eyelids of 104 patients were evaluated. The mean age was 7.2 ± 4.2 years with a mean follow-up time of 5.6 ± 4.6 months. Functional success was obtained in 206 eyelids (99.0%). Only two cases that had a total epiblepharon score of 7 showed a recurrence of mild cilia-corneal touch, but reoperation was not required. The cosmetic satisfaction score was 8.7 ± 1.8 (range, 1-10). The excellent cosmesis group with a cosmetic score of 9 or higher had significantly higher skin fold height (=0.027).
Modified epiblepharon repair preserving orbicularis oculi muscle can be effective in the treatment of lower epiblepharon regardless of its severity. Excellent outcomes were obtained functionally and cosmetically without debulking of the orbicularis oculi muscle.
对2016年4月至2018年10月期间接受保留眼轮匝肌的改良睑内翻修复术的患者进行回顾性研究。采用睫毛旋转缝线和内眦减弱术尽量减少眼轮匝肌的切除。根据皮肤皱襞高度和睫毛-角膜接触情况对术前睑内翻的严重程度进行分类。主要术后结局通过功能成功和美容满意度进行评估。
共评估了104例患者的208只眼睑。平均年龄为7.2±4.2岁，平均随访时间为5.6±4.6个月。206只眼睑（99.0%）获得了功能成功。只有2例睑内翻总分7分的患者出现轻度睫毛-角膜接触复发，但无需再次手术。美容满意度评分为8.7±1.8（范围1-10）。美容评分9分或更高的优秀美容组皮肤皱襞高度显著更高（P=0.027）。
保留眼轮匝肌的改良睑内翻修复术无论睑内翻严重程度如何，均可有效治疗下睑内翻。在不减少眼轮匝肌体积的情况下，在功能和美容方面均取得了优异的效果。
