Raffati Nasrin
Negah Aref Ophthalmic Research Center, Negah Eye Hospital, Tehran, Iran.
J Med Case Rep. 2025 Jun 17;19(1):279. doi: 10.1186/s13256-025-05330-y.
Currently, most surgeons favor Muller's muscle conjunctival resection as a treatment for mild-to-moderate ptosis, as this method is associated with fewer post-surgical complications.
This case series of six Iranian women aged between 15 and 65 (mean 43) years with mild-to-moderate ptosis treated at Negah Eye Hospital used a plasma scalpel (PLEXR™) for conjunctivo-Muller sublimation. A 1-4 area management strategy was applied, and margin reflex distance 1 measurements showed improvement from 1.58 mm pre-treatment to 3.66 mm after 6 months.
Seemingly, applying plasma technology to treat mild-to-moderate ptosis via conjunctivo-Muller muscle sublimation might be a promising alternative to more invasive surgical methods.
目前,大多数外科医生倾向于采用米勒肌结膜切除术治疗轻至中度上睑下垂,因为这种方法术后并发症较少。
本病例系列研究对6名年龄在15至65岁(平均43岁)之间的伊朗轻至中度上睑下垂女性患者,在尼加眼科医院采用等离子手术刀(PLEXR™)进行结膜 - 米勒肌升华术。应用了1 - 4区域管理策略,边缘反射距离1测量结果显示,从治疗前的1.58毫米改善至6个月后的3.66毫米。
看似通过结膜 - 米勒肌升华术应用等离子技术治疗轻至中度上睑下垂,可能是一种比侵入性更强的手术方法更有前景的替代方案。