Lemperle Gottfried, Kassem-Trautmann Katja, Schmidt Katarzyna
Private Practice, Frankfurt am Main, Germany.
Plastic Surgery Zug, Zug, Switzerland.
Plast Reconstr Surg Glob Open. 2023 Feb 20;11(2):e4811. doi: 10.1097/GOX.0000000000004811. eCollection 2023 Feb.
As people age, the intraorbital fat may diminish and palpebral fissures may narrow, causing the eyes to increasingly tear outside in cold weather. As the bulbus recedes from the conjunctiva, a "wind trap" is formed in the lateral corner of the eye. This wind trap appears to irritate the adjacent lacrimal gland. In this article, an 84-year-old patient experienced annoying outdoor tearing despite having undergone three tarsal strip canthopexies during the past 20 years.
Retrobulbar injections of 3.5-mL high-viscous dermal fillers (Bellafill or Radiesse) pushed the eyeballs forward, aligned the bulbus with the conjunctiva, and closed the wind trap behind the lateral canthus. Magnetic resonance imaging confirmed the filler material in the posterior lateral corner of the orbit.
The effect was immediate: the patient's constant outdoor tearing had resolved after the first treatment of his senile enophthalmos. In addition, the narrow palpebral fissure had widened by 2 mm and rejuvenated his aging eyes.
An eyeball that has receded with age can be pushed forward with a retrobulbar injection of a long lasting dermal filler to reattach to the eyelids.
随着年龄增长，眶内脂肪可能减少，睑裂可能变窄，导致眼睛在寒冷天气时越来越容易向外流泪。当眼球从结膜退缩时，在眼角外侧会形成一个“风阱”。这个风阱似乎会刺激相邻的泪腺。在本文中，一名84岁的患者尽管在过去20年里接受了三次睑板条眦固定术，但仍经历恼人的户外流泪。
球后注射3.5毫升高粘性真皮填充剂（贝拉菲或瑞得喜）将眼球向前推，使眼球与结膜对齐，并封闭外眦后方的风阱。磁共振成像证实填充材料位于眼眶后外侧角。
效果立竿见影：患者在首次治疗老年性眼球内陷后，持续的户外流泪症状得到缓解。此外，狭窄的睑裂变宽了2毫米，使他衰老的眼睛恢复了活力。
随着年龄增长而退缩的眼球可以通过球后注射长效真皮填充剂向前推，使其重新附着于眼睑。
