Crawford J S
Ophthalmic Surg. 1977 Aug;8(4):31-40.
The results of an analysis of the surgery ("Repair of Ptosis using Frontalis Muscle and Fascia Lata") carried out on 316 lids is presented. The main indication for this operation is a large congenital ptosis with minimal levator function. Conclusions from the study indicate that autogenous fascia is an ideal tissue for lid suspension, and is better than stored fascia. Stored fascia does present some problems but is useful in small children or when the patient does not want a scar on the leg. Bilateral repair for unilateral ptosis is recommended for symmetrical results. The best ages for surgery is between 3-1/2 and 6 years of age, as these young corneas rapidly adapt to the exposure problems. It is very important to check the corneal sensation before carrying out the surgery. When this operation is done on older patients with acquired ptosis, e.g. ptosis associated with myasthenia gravis, corneal exposure problems frequently result.
本文展示了对316只眼睑进行“利用额肌和阔筋膜修复上睑下垂”手术的分析结果。该手术的主要适应症是先天性上睑下垂严重且提上睑肌功能微弱。研究结论表明，自体筋膜是眼睑悬吊的理想组织，优于保存的筋膜。保存的筋膜确实存在一些问题，但在小儿患者或患者不希望腿部留有疤痕时有用。对于单侧上睑下垂，建议进行双侧修复以获得对称效果。手术的最佳年龄在3.5至6岁之间，因为这些幼儿的角膜能迅速适应暴露问题。在进行手术前检查角膜感觉非常重要。当对后天性上睑下垂的老年患者（如与重症肌无力相关的上睑下垂）进行此手术时，经常会出现角膜暴露问题。
