内路法手术联合点阵激光治疗中老年眼袋

Treatment on Lower Blepharoplasty in Middle-aged and Elderly Patients with Combined Conjunctivae-road Operation and Fractional Laser Rhytidectomy

目的探讨内路法手术联合点阵激光治疗中老年眼袋的临床疗效。方法对52例不愿意行外切口眼袋整复术的中老年患者,先采用内路法手术祛除眶隔多余脂肪,术后2周开始采用点阵激光收紧松弛的下睑和外眦皮肤以减轻皱纹,视情况共治疗1～3次,治疗后1个月进行疗效评估。结果全部病例术后下睑基本平整,皮肤皱纹明显减轻。4例在点阵激光治疗后出现暂时性色素沉着,2～3个月后自行消退。未出现其他并发症。结论内路法手术联合点阵激光治疗中老年眼袋效果良好,无切口瘢痕,并发症少,手术恢复快,值得推广。

Objective To investigate the clinical effects of combind trans-conjunctivae road operation and fractional laser rhytidectomy on lower blepharoplasty in middle-aged and elderly patients.Methods Conjunctivae-road blepharoplasty was carried out in 52 patients who were unwill to endure trans-skin road operation.The excess fat was removed within orbital septum first.Fractional laser was used to tighten the relaxed skin and reduce wrinkles on the lower eyelid and the outer canthus 2 weeks after operation.The patients were treated 1 to 3 times according to the condition of patients.The treatment effect was assessed 1 month after treatment.ResultsAfter the conjunctivae-road operation combined with fractional laser rhytidectomy,the lower eyelid skin became flat and the wrinkles were reduced in all patients.Temporary pigmentation occurred in 4 patients after fractional laser treatment,which regressed spontaneously after 2 to 3 months,no other complications occurred.ConclusionsThe clinical effects of trans-conjunctivae operation combined with fractional laser rhytidectomy on lower blepharoplasty in middle-ged and elderly patients are good,with no scar and fewer complications.The patients recover quickly.The combined treatment is worth to recommend.