Anderson R L, Gordy D D
Arch Ophthalmol. 1979 Nov;97(11):2192-6. doi: 10.1001/archopht.1979.01020020510021.
We have developed a procedure that is particularly useful for (1) paralytic or senile upper and lower eyelid laxity, (2) lateral canthal tendon laxity or malposition, and (3) iatrogenic phimosis associated with recurrent entropion or ectropion after traditional lid-shortening procedures. Lateral canthal tendon laxity or elongation is the primary problem in the majority of these cases, and eyelid tightening with use of lateral tarsal strips corrects this deformity. The midtarsal portion of the eyelid, which is usually resected in traditional lid-shortening procedures, is seldom elongated, and recurrences of laxity are common secondary to further stretching of lax tendons. The technique involves a lateral canthotomy and transection of the appropriate crus of the lateral canthal tendon. The eyelid is then split into anterior and posterior lamellae, and tarsal strips are fashioned from the posterior lamella. The tarsal strips are sutured to periosteum at the lateral orbital wall, adjusting the height and tension of the lateral canthus. This technique gives a normal appearance to the lateral canthal angle and has yielded good results in 51 cases.
（1）麻痹性或老年性上、下睑松弛；（2）外眦韧带松弛或位置异常；（3）传统睑缩短手术后与复发性睑内翻或睑外翻相关的医源性睑裂狭小。在大多数这些病例中，外眦韧带松弛或延长是主要问题，使用外侧睑板条收紧眼睑可纠正这种畸形。在传统睑缩短手术中通常被切除的睑板中部很少延长，松弛肌腱的进一步拉伸常导致松弛复发。该技术包括外眦切开术和切断外眦韧带的适当脚。然后将眼睑分成前后两层，从后层制作睑板条。将睑板条缝合到眶外侧壁的骨膜上，调整外眦的高度和张力。该技术使外眦角外观正常，已在51例病例中取得了良好效果。
