目的:报告在下睑退缩(LER)患者中使用同种异体阔筋膜(FL)移植物的情况。
方法:在这项回顾性研究中,我们纳入了连续的27例LER患者(39只眼),这些患者因FL出现下眼睑抬高.检查包括测量睑裂垂直高度(PFVH),下巩膜显示距离,边缘反射距离2(MRD2),所有患者在基线和术后平均时间25.9±25.5个月(5.0-81.0,中位数13.0,末次随访)后进行结膜充血评估.
结果:在最后一次随访中,PFVH显着降低(基线时11.3±1.7对12.8±2.1,p<0.001),巩膜下显示距离(0.7±1.0mm对基线2.1±1.1,p<0.001),和MRD2(基线时6.4±0.9对7.8±1.3,p<0.001)发生。与基线(2.6±0.6,p<0.001)相比,末次随访时结膜充血分级评分(McMonnies)显著降低(1.8±0.7)。在最后一次随访中未观察到外翻或内翻病例。
结论:在本案例系列中,以FL移植物作为间隔物的下眼睑抬高导致PFVH显着减少,MRD2,巩膜下显示距离,结膜充血.无严重手术相关并发症发生。
OBJECTIVE: To report on the use of allogenous fascia lata (FL) grafts in patients with lower eyelid retraction (LER).
METHODS: In this retrospective study, a consecutive series of 27 patients (39 eyes) with LER who underwent lower eyelid elevation with FL was included. Examinations including measurement of the palpebral fissure vertical height (PFVH), the inferior scleral show distance, the margin reflex distance 2 (MRD 2), and the evaluation of conjunctival hyperemia were conducted at baseline and after a mean postoperative time of 25.9 ± 25.5 (5.0-81.0, median 13.0, last follow-up) months in all patients.
RESULTS: At the last follow-up, a significant reduction of the PFVH (11.3 ± 1.7 versus 12.8 ± 2.1 at baseline, p < 0.001), the inferior scleral show distance (0.7 ± 1.0 mm versus 2.1 ± 1.1 at baseline, p < 0.001), and the MRD 2 (6.4 ± 0.9 versus 7.8 ± 1.3 at baseline, p < 0.001) occurred. The conjunctival hyperemia grading score (McMonnies) was significantly reduced (1.8 ± 0.7) at the last follow-up compared to baseline (2.6 ± 0.6, p < 0.001). No case of ectropion or entropion was observed at the last follow-up visit.
CONCLUSIONS: In this case series, lower eyelid elevation with FL grafts as a spacer led to a significant reduction of the PFVH, MRD 2, inferior scleral show distance, and conjunctival hyperemia. No severe surgery-related complications occurred.