Department of Ophthalmology, Faculty of Medicine, Fayoum University, Al Fayoum, Egypt.
Department of Ophthalmology, Cullen Eye Institute, Baylor College of Medicine, Houston, Texas, USA.
Indian J Ophthalmol. 2024 Oct 1;72(10):1453-1457. doi: 10.4103/IJO.IJO_2971_23. Epub 2024 Sep 27.
Removal of clinically benign eyelid margin lesions is frequently desired for cosmetic concerns. Although surgical excision remains the standard therapy for such lesions, it carries the risk of unfavorable outcomes. Hence, this study aimed to evaluate a more aesthetic technique entailing a posterior lamellar wedge resection of lower eyelid margin lesions through an infraciliary incision.
A retrospective review of patients who underwent posterior lamellar wedge resection for benign lower eyelid margin lesions between May 2017 and June 2022 was performed. Patient satisfaction using the visual analog score (VAS) and cosmetic outcomes using the Strasser score.
Forty-two patients met the inclusion criteria (61.9% female, mean age: 46.8 years). Nevus was the most frequent histologic diagnosis (57.1%). Furthermore, 66.7% of lesions extended to the back of the lid margin. The mean defect size was 5.8 mm (range: 3.5-8 mm). The mean follow-up interval was 24.1 months (range: 6-60 months). Thirty-two (76.2%) eyelids had scores indicating an excellent result, and 10 (23.8%) patients had a good result. The mean patient satisfaction VAS score for the eyelid appearance was 96 (range: 70-100). There were no cases of recurrence of resected lesions. No further surgery was performed on the operated eyelid for any reason during the follow-up period.
Posterior lamellar wedge resection for lower eyelid margin lesions was associated with excellent cosmetic outcomes, high patient satisfaction, and minimal adverse events.
出于美容考虑，临床上常希望去除眼睑边缘的良性病变。虽然手术切除仍然是此类病变的标准治疗方法，但存在不良结果的风险。因此，本研究旨在评估一种更美观的技术，即通过睑缘下切口行下眼睑边缘病变的后板层楔形切除术。
回顾性分析 2017 年 5 月至 2022 年 6 月期间接受后板层楔形切除术治疗良性下眼睑边缘病变的患者。采用视觉模拟评分（VAS）评估患者满意度，采用 Strasser 评分评估美容效果。
符合纳入标准的患者共有 42 例（女性占 61.9%，平均年龄：46.8 岁）。最常见的组织学诊断为痣（57.1%）。此外，66.7%的病变延伸至睑缘后。平均缺损大小为 5.8mm（范围：3.5-8mm）。平均随访时间为 24.1 个月（范围：6-60 个月）。32 只（76.2%）眼睑的评分结果为优秀，10 只（23.8%）眼睑的评分结果为良好。患者对眼睑外观的满意度 VAS 评分为 96（范围：70-100）。未发现切除病变复发的病例。在随访期间，因任何原因均未对手术眼睑进行进一步手术。
下眼睑边缘病变的后板层楔形切除术具有良好的美容效果、高患者满意度和最小的不良事件。
