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上睑下垂患者的对侧上睑:一些与上睑下垂矫正手术相关的观察结果。

The contralateral upper eyelid in ptosis: some observations pertinent to ptosis corrective surgery.

作者信息

Mehta H K

出版信息

Br J Ophthalmol. 1979 Feb;63(2):120-4. doi: 10.1136/bjo.63.2.120.

DOI:10.1136/bjo.63.2.120
PMID:427072
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1043411/
Abstract

The validity of Hering's law in corrective surgery for ptosis is demonstrated for the first time. It is also shown how Hering's law has been utilised in corrective surgery for unilateral ptosis to elicit a predominant response from the unoperated contralateral upper eyelid. Other implications of reciprocal innervation of the 2 upper eyelids are discussed and a tentative hypothesis is postulated that in a case of true unilateral levator ptosis the fellow upper eyelid will show compensatory retraction.

摘要

首次证明了赫林定律在睑下垂矫正手术中的有效性。还展示了赫林定律如何在单侧睑下垂矫正手术中被用于引发未手术的对侧上睑的主要反应。讨论了双侧上睑相互神经支配的其他影响,并提出了一个初步假设,即在真正的单侧提上睑肌睑下垂病例中,对侧上睑会出现代偿性退缩。

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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82a7/1043411/3c407318c128/brjopthal00206-0054-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82a7/1043411/c41371e61328/brjopthal00206-0054-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82a7/1043411/40dd5d715f2e/brjopthal00206-0054-d.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82a7/1043411/abe4bab8bfde/brjopthal00206-0055-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82a7/1043411/9f141ca886bf/brjopthal00206-0055-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82a7/1043411/564018c04d08/brjopthal00206-0055-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82a7/1043411/fa1eef425b58/brjopthal00206-0055-d.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82a7/1043411/502b606c2daa/brjopthal00206-0055-e.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82a7/1043411/e4c531643166/brjopthal00206-0056-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82a7/1043411/4669c6c9af90/brjopthal00206-0056-b.jpg
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本文引用的文献

1
LID-RETRACTION SECONDARY TO CONTRALATERAL PTOSIS.对侧上睑下垂继发的睑裂退缩
Br J Ophthalmol. 1964 Nov;48(11):626-7. doi: 10.1136/bjo.48.11.626.
2
LID RETRACTION IN THE NON-PARETIC EYE IN ACQUIRED OPHTHALMOPLEGIA.后天性眼肌麻痹中非麻痹性眼的眼睑退缩
Br J Ophthalmol. 1963 Dec;47(12):757-9. doi: 10.1136/bjo.47.12.757.
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Reflex regulation of the upper eyelids, with observations on the onset of sleep.上睑的反射调节及睡眠起始的观察
J Physiol. 1963 Apr;166(1):168-77. doi: 10.1113/jphysiol.1963.sp007097.
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Lid retraction syndrome due to secondary deviation.继发斜视所致的眼睑退缩综合征
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Hering's law, the levators, and their relationship in disease states.
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