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用于上睑下垂修复的米勒肌-结膜切除术术后生活质量的变化。

The change in quality of life after Muller's muscle-conjunctival resection surgery for eyelid ptosis repair.

作者信息

David Daniel, Ben Simon Guy, Rosner Mordechai, Priel Ayelet, Sagiv Oded, Landau Prat Daphna, Zloto Ofira

机构信息

Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Goldschleger Eye Institute, Sheba Medical Center, Tel Hashomer, Israel.

出版信息

Int Ophthalmol. 2025 Mar 30;45(1):130. doi: 10.1007/s10792-025-03498-2.

Abstract

OBJECTIVE

To evaluate the long-term effect of the Muller's Muscle-Conjunctival Resection (MMCR) procedure on patient's quality of life.

METHODS

This retrospective study included patients that underwent MMCR surgery for eyelid ptosis repair at our institution between the years 2016-2018 and had at least 3 months postoperative follow up. All patients completed the 18-questions post-interventional, validated, Glasgow Benefit Inventory (GBI) questionnaire via telephone interview.

RESULTS

50 patients were included in the study group. The mean MRD1 measurement before ptosis repair surgery was 1.65 mm (± 0.82), with significantly higher MRD1 after a long post-operatively period, of 3.2 mm (± 1.03) (Matched pairs, p < 0.001). The mean total GBI score was 57.48 (± 4.72) out of 90, after an average follow up period of 712 days.

CONCLUSIONS

The MMCR eyelid ptosis repair surgery has a positive, long-term effect on patient's quality of life. Good patient selection for specific type of ptosis surgery, based on pre-operative clinical characteristics, can result good outcome with high satisfaction rates.

摘要

目的

评估米勒肌-结膜切除术(MMCR)对患者生活质量的长期影响。

方法

这项回顾性研究纳入了2016年至2018年间在本机构接受MMCR手术修复上睑下垂且术后至少随访3个月的患者。所有患者均通过电话访谈完成了18个问题的干预后有效格拉斯哥效益量表(GBI)问卷。

结果

研究组纳入50例患者。上睑下垂修复手术前平均MRD1测量值为1.65mm(±0.82),术后较长时间后MRD1显著升高,为3.2mm(±1.03)(配对,p<0.001)。平均随访712天后,GBI总评分平均为57.48(±4.72)(满分90分)。

结论

MMCR上睑下垂修复手术对患者生活质量有积极的长期影响。根据术前临床特征对特定类型的上睑下垂手术进行良好的患者选择,可取得良好效果和高满意率。

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