Camirand A, Doucet J, Harris J
Chirurgie Esthétique et Plastique, Montréal, Québec, Canada.
Plast Reconstr Surg. 1997 Nov;100(6):1535-46. doi: 10.1097/00006534-199711000-00026.
We describe in detail the anatomy and function of the "Lockwood suspensory ligament" and the interrelated function of the orbital contents responsible for the intraorbital position of the eyeball and fat. With age, or because of genetic disposition, the eyeball descends, reducing the space between it and the floor of the orbit. This will inevitably cause forward projection of the extraconical orbital fat, creating herniated fat pads and resulting in enophthalmia. Based on the volume of the bony orbit and its contents, it is likely that relocating, rather then removing, herniated fat pads will greatly improve and prevent the enophthalmia of aging and give the globe a position and a projection of youth. Based on the results of surgery using the capsulopalpebral flap, it is likely that a descended Lockwood suspensory ligament, rather than a weakened orbital septum, is the cause of herniated fat pads and enophthalmia. We feel neither a weakened orbital septum nor an overabundance of orbital fat nor a shallow orbit is responsible for either of these conditions. We give a detailed description of how to raise the globe, preserve and relocate herniated fat pads, and manage and prevent enophthalmia and obtain a beautiful, youthful looking eye.
我们详细描述了“洛克伍德悬韧带”的解剖结构和功能,以及眶内容物的相关功能,这些功能决定了眼球和脂肪在眼眶内的位置。随着年龄增长,或由于遗传因素,眼球会下降,导致眼球与眶底之间的空间减小。这将不可避免地导致眶锥外脂肪向前突出,形成脂肪垫疝,进而导致眼球内陷。基于骨性眼眶及其内容物的体积,重新定位而非切除疝出的脂肪垫,很可能会极大地改善并预防衰老性眼球内陷,使眼球恢复年轻的位置和突出度。根据使用睑囊瓣手术的结果,脂肪垫疝和眼球内陷的原因很可能是洛克伍德悬韧带下降,而非眶隔薄弱。我们认为,眶隔薄弱、眶脂肪过多或眼眶浅平都不是导致这些情况的原因。我们详细描述了如何提升眼球、保留并重新定位疝出的脂肪垫,以及处理和预防眼球内陷,从而获得一双美丽、看起来年轻的眼睛。