Cruz Antonio A V, Diniz Stefania B, Guimarães Juliana A, Souza Roque L, Galindo-Ferreiro Alicia, Araujo Lilyan M F, Cecchetti Sheila A P, SanťAnna Ana Estela B
Department of Ophthalmology, Otorhinolaryngology and Head and Neck Surgery, School of Medicine of Ribeirão Preto, Hospital das Clínicas de Ribeirão Preto-CAMPUS, University of São Paulo, Av Bandeirantes 3900, Ribeirão Preto, São Paulo, 14049-900, Brazil.
Department of Ophthalmology, Orbital and Ophthalmic Plastic Surgery, Instituto Hospital de Base Do Distrito Federal, Brasília, DF, Brazil.
Int Ophthalmol. 2023 Mar;43(3):741-748. doi: 10.1007/s10792-022-02473-5. Epub 2022 Aug 29.
To assess the clinical characteristics of tarsal buckling after ptosis correction and its management with margin rotation techniques.
Multicenter retrospective review of ten patients who developed upper eyelid entropion following ptosis correction. In all cases the tarsal deformity was corrected with margin rotational procedures with either a lid crease anterior approach or a traditional posterior approach. Data collection included patient demographics, type of ptosis surgery, and photographic documentation of the affected eyelids.
Entropion occurred after a variety of different ptosis surgery techniques, including frontalis sling, levator advancement and supramaximal levator resection. A horizontal tarsal fold was detected in all eyelids, being in the upper third of the tarsus in 70% and in the central tarsus in 20% of the cases. Tarsal buckling was corrected in all cases with rotational surgery, with nine cases being operated through an anterior lid crease approach and 1, through the traditional posterior approach. The most reported complication was minimal residual ptosis.
Tarsal buckling following ptosis surgery is associated with folds located in the upper part of the tarsus. Margin rotation techniques are effective in restoring the natural position of the eyelid margin in these cases.
评估上睑下垂矫正术后睑板弯曲的临床特征及其采用睑缘旋转技术的处理方法。
对10例上睑下垂矫正术后发生上睑睑内翻的患者进行多中心回顾性研究。所有病例均采用睑缘旋转手术矫正睑板畸形，手术方式为经睑皱襞前路或传统后路。数据收集包括患者人口统计学资料、上睑下垂手术类型以及患眼的照片记录。
睑内翻发生于多种不同的上睑下垂手术技术之后，包括额肌悬吊术、提上睑肌缩短术和提上睑肌超常量切除术。所有眼睑均检测到水平睑板皱襞，其中70%位于睑板上1/3，20%位于睑板中部。所有病例均通过旋转手术矫正睑板弯曲，9例经睑皱襞前路手术，1例经传统后路手术。最常见的并发症是残留轻度上睑下垂。
上睑下垂手术后的睑板弯曲与睑板上部的皱襞有关。在这些病例中，睑缘旋转技术可有效恢复睑缘的自然位置。
