Meyer D R, Simon J W, Kansora M
Division of Oculoplastic and Orbital Surgery, Lions Eye Institute, Albany, NY 12208, USA.
Am J Ophthalmol. 1996 Sep;122(3):331-9. doi: 10.1016/s0002-9394(14)72059-8.
To evaluate a procedure to prevent lower eyelid retraction, which may occur after inferior rectus muscle recession surgery as a direct consequence of the intimate anatomic connections between the inferior rectus muscle and lower eyelid retractors.
We evaluated the technique of primary infratarsal lower eyelid retractor lysis on 12 eyelids of ten patients undergoing inferior rectus muscle recession of 3 mm or more. Indications for surgery included restrictive strabismus related to Graves' ophthalmopathy, orbital blowout fracture, and orbital fibrosis syndrome.
For the 12 eyes, inferior rectus muscle recession ranged from 3 to 10 mm (mean, 5.3 mm). Postoperatively there was no significant change in mean lower eyelid position (P > .82), and no patient developed inferior scleral show.
Primary infratarsal eyelid retractor lysis is an effective technique for preventing lower eyelid retraction after inferior rectus muscle recession strabismus surgery.
评估一种预防下睑退缩的手术方法，下睑退缩可能是下直肌后徙手术后的直接后果，这是由于下直肌与下睑缩肌之间存在紧密的解剖学联系。
我们对10例接受3毫米或以上下直肌后徙手术患者的12只眼睑进行了原发性睑板下睑缩肌松解术评估。手术适应症包括与格雷夫斯眼病、眼眶爆裂性骨折和眼眶纤维化综合征相关的限制性斜视。
12只眼睛的下直肌后徙范围为3至10毫米（平均5.3毫米）。术后平均下睑位置无显著变化（P>.82），且无患者出现下巩膜暴露。
原发性睑板下睑缩肌松解术是预防下直肌后徙斜视手术后下睑退缩的有效技术。
