同种异体巩膜下睑缩肌延长术治疗甲状腺相关眼病下睑挛缩

Clinical effect of lengthening of allogenic levetor muscle with scleral graft in correcting lower eyelid retraction in patients with inactive thyroid ophthalmopathy

目的:评估同种异体巩膜下睑缩肌延长术矫正甲状腺相关眼病下睑挛缩的临床疗效。方法:对12例16眼以下睑挛缩为主要表现的静止期的甲状腺相关眼病患者,采用同种异体巩膜下睑缩肌延长术矫正挛缩的下睑,并观察其临床疗效。结果:术后所有患者睑裂高度均明显下降,自觉症状不同程度减轻或消失。术后普遍存在的并发症是眼睑肿胀,且持续时间长。结论:同种异体巩膜下睑缩肌延长术能有效矫正甲状腺相关眼病的中重度下睑挛缩。

AIM, To evaluate the clinical effect of lengthening of allogenic levetor muscle with scleral graft in correcting lower eyelid retraction in patients with inactive thyroid ophthalmopathy. METHODS： Totally 12 patients （16 eyelids） with inactive thyroid associated ophthalmopathy were collected. All patients had a typical manifestation of lower eyelid retraction. RESULTS. All patients had subjective improvement in appearance and symptom. We have found eyelid edema to be a common complication of sclera grafts. CONCLUSION： Lengthening of allogenic muscle with scleral graft is effective in correcting eyelid retraction.