提上睑肌中央腱膜切断术治疗甲状腺相关眼病上睑退缩

Central aponeurosis disinsertion of the levator in correcting upper eyelid retraction in patients with thyroid associated ophthalmopathy

目的:评估提上睑肌中央腱膜切断术矫正甲状腺相关眼病上睑退缩的临床疗效。方法:对35例52眼以上睑退缩为主要表现的静止期甲状腺相关眼病患者采用提上睑肌中央腱膜切断术矫正退缩的上睑,并观察其临床疗效。结果:术后所有患者上睑退缩均得以矫正,自觉症状不同程度减轻或消失。结论:提上睑肌中央腱膜切断术能有效矫正甲状腺相关眼病的中度上睑退缩。

AIM：To evaluate the clinical effect of central aponeurosis disinsertion of the levator in correcting upper eyelid retraction in patients with thyroid associated ophthalmopathy.METHODS：Thirty-five patients 52 eyelids with inactive thyroid associated ophthalmopathy were recruited.All patients had a typical manifestation of upper eyelid retraction.RESULTS：：All patients had subjective improvement in appearance and symptom.All patients＇ upper eyelid retraction was obviously corrected.CONCLUSION：Central aponeurosis disinsertion of the levator is effective in correcting upper eyelid retraction.