先天性上睑下垂的研究进展

Research progress of congenital upper eyelid prolapse

先天性上睑下垂是上睑下垂中最常见的类型,根据上睑下垂程度将其分为轻、中、重度。轻度仅表现睑裂小,眼睛无神,单眼患病者两眼大小不一样;中、重度患者平视或向上注视时一般都需挑眉仰头形成特殊体位,久而久之会影响患儿的脊椎发育,长久扬眉还会增加额部皱纹,严重影响美观及患者的身心健康,本文对近年来有关先天性上睑下垂的屈光状态、病理组织学、遗传学及手术等方面的研究做一总结,先天性上睑下垂与屈光不正关系密切,且越来越多的证据表明上睑下垂程度越重,其散光发生率越高,其病理组织方面研究较多,基本支持了提上睑肌功能不良这一观点,遗传学方面并没有得出较一致的定论,而近几年在手术治疗方面各位学者提出了许多新的想法和思路,各种改良技术不断涌现。

Congenital upper eyelid is the most common type of upper eyelid.According to the degree of the upper eyelid droop will be divided into light, moderate and severe. Mild showed just small palpebral fissure, eyes without the god, monocular diseased eyes size is not the same.Moderate and severe patients with Flat or upward gaze are generally required to pick eyebrow upward to form a special position, with the passage of time will affect children's spinal cord development, Long lift eyebrow forehead wrinkles will increase, seriously affect the appearance and the patient's physical and mental health.In this paper, the study on the refractive status, pathology, genetics and surgery of congenital upper eyelid droop in recent years is summarized.Congenital ptosis and ametropia have close relationship,and there is more and more evidence that the higher the degree of the upper eyelid, the higher the incidence of astigmatism.There are many researches on the pathological organization, which basically supports the view that the function of the upper eyelid muscle is poor.Genetic aspects have not reached a consensus.In recent years, in regard to surgical treatment, scholars put forward many new thoughts and ideas, a variety of improved technologies continue to emerge.