Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, New York, USA.
Vet Ophthalmol. 2024 Jan;27(1):90-94. doi: 10.1111/vop.13122. Epub 2023 Jun 19.
To describe the successful restoration of superior eyelid function in a horse following traumatic avulsion using an advancement flap blepharoplasty and subdermal hyaluronic acid filler.
A 21-year-old American Paint Horse stallion who was attacked by a fellow stallion resulting in numerous traumatic injuries including avulsion of approximately 75% of the left superior eyelid.
With standing sedation and locoregional anesthesia, the superior eyelid wound was debrided and an advancement flap blepharoplasty (H-plasty) and temporary tarsorrhaphy were performed. Routine healing of the surgical site occurred over the subsequent weeks, though lagophthalmos persisted. At 2 and 4 weeks post-operatively, 2.4% cross-linked hyaluronic acid was injected subdermally into the superior eyelid to attempt to improve corneal coverage. At 8 weeks post-operatively, a complete blink was restored and the cosmetic outcome was good.
Injection of subdermal hyaluronic acid filler following eyelid injuries or blepharoplastic procedures that result in lagophthalmos can improve corneal coverage by the eyelids and allow for maintenance of a comfortable and visual eye.
描述一例马因创伤性撕脱伤后，通过推进皮瓣眼睑成形术和皮下透明质酸填充剂成功恢复上眼睑功能。
一匹 21 岁的美国花马种公马，被另一匹种马袭击，导致多处创伤，包括约 75%的左上眼睑撕脱。
在站立镇静和局部麻醉下，对上眼睑伤口进行清创，并进行推进皮瓣眼睑成形术（H 成形术）和临时睑裂缝合。随后几周，手术部位常规愈合，但仍存在睑裂闭合不全。术后 2 周和 4 周时，将 2.4%交联透明质酸皮下注射到上眼睑，以试图改善角膜覆盖。术后 8 周，完全恢复眨眼，美容效果良好。
对于因眼睑损伤或眼睑成形术导致睑裂闭合不全的患者，在术后注射皮下透明质酸填充物可以改善眼睑对角膜的覆盖，并保持舒适和视觉良好的眼睛。
