Lam D S, Gandhi S R, Ng J S, Chen I N, Kwok P S, Chan G H
Department of Ophthalmology & Visual Sciences, Prince of Wales Hospital, Chinese University of Hong Kong, Shatin, N.T., Hong Kong.
Eye (Lond). 1997;11 ( Pt 6):806-9. doi: 10.1038/eye.1997.210.
Ten consecutive cases of severe unilateral congenital ptosis were surgically corrected before 1 year of age (range 3-11 months) in an attempt to achieve early functional and cosmetic improvement. In all cases, a frontalis suspension using Mersilene mesh was performed. With a mean follow-up of 40.3 months (range 33-54 months), all patients achieved normal or near normal eyelid position and all had their chin-up head posture resolved. One patient developed a mild exposure keratitis that was treated successfully with topical antibiotics and lubricants. Our findings suggest that the Mersilene mesh sling has good potential for ptosis management in infants who are too young for fascial harvesting. However, a larger series with a longer follow-up period is required before the eventual safety and efficacy of the Mersilene mesh sling can be properly ascertained.
为了尽早实现功能和外观改善，对10例连续的重度单侧先天性上睑下垂患儿在1岁前（年龄范围3 - 11个月）进行了手术矫正。所有病例均采用Mersilene网片行额肌悬吊术。平均随访40.3个月（范围33 - 54个月），所有患者的眼睑位置达到正常或接近正常，且均纠正了仰头姿势。1例患者发生轻度暴露性角膜炎，经局部使用抗生素和润滑剂成功治愈。我们的研究结果表明，对于因年龄太小无法获取筋膜的婴儿，Mersilene网片吊带在上睑下垂治疗方面具有良好潜力。然而，在能够准确确定Mersilene网片吊带最终的安全性和有效性之前，需要进行更大样本量且随访期更长的研究。
