Doxanas M T, Dryden R M
Ophthalmology. 1981 Sep;88(9):887-94. doi: 10.1016/s0161-6420(81)80002-4.
The use of sclera for correcting dysthyroid lid retraction is described. Forty-three procedures on 14 patients are reviewed. Of these 43 procedures, 18 were for upper eyelid retraction, and 25 were for lower eyelid retraction. A tapered graft, larger temporally, was used for the upper eyelid. An eliptical graft of uniform vertical height was used for lower eyelid. Moderately predictable results were obtained; 66% of patients were corrected to within 1 mm of desired positions after the first operative procedure. Only 13% of patients required additional surgery. When secondary procedures were required, the eyelids were corrected to the desired location. Complications were minimal. Sclera proved to be an excellent graft material for dysthyroid eyelid retraction.
本文描述了使用巩膜矫正甲状腺功能异常性眼睑退缩的方法。回顾了对14例患者实施的43例手术。在这43例手术中，18例用于上睑退缩，25例用于下睑退缩。上睑使用颞侧较大的锥形移植物。下睑使用垂直高度一致的椭圆形移植物。取得了中度可预测的结果；66%的患者在首次手术后被矫正至距期望位置1毫米以内。仅13%的患者需要再次手术。当需要二次手术时，眼睑被矫正至期望位置。并发症极少。巩膜被证明是矫正甲状腺功能异常性眼睑退缩的优良移植物材料。
