关注儿童先天性上睑下垂手术时机和手术方式的选择

Selection of surgical timing and techniques for congenital blepharoptosis

上睑下垂是眼整形科最常见的疾病之一,由于儿童处于生长发育阶段的特殊性,不规范的诊疗不仅会影响外观,同时可能会导致视功能发育迟缓。目前关于儿童先天性上睑下垂的手术时机和手术方式的选择尚无统一的标准和共识,本文通过对儿童先天性上睑下垂分类细化,阐明合并不同原因导致弱视的患者手术时机的选择;对比不同手术方式,分析其原理及优缺点,进一步明确矫正重度儿童先天性上睑下垂的手术方式,以期规范儿童先天性上睑下垂手术时机和手术方式的选择,提高手术的成功率,减少弱视的发生。

Blepharoptosis is one of the most common diseases in oculoplastics.Due to the particularity of children in the stage of growth and development,non-standard diagnosis and treatment not only affect the appearance,but also lead to the retardation of visual function development.Currently,there are no uniform standards and consensus on the choice of surgical timing and methods for pediatric congenital blepharoptosis.Here through refined classification of congenital blepharoptosis,we try to elucidate the choice of surgical timing for congenital blepharoptosis patients combined with amblyopia caused by a variety of reasons.By comparing different surgical methods,we analyze their mechanisms and advantages,and illustrate the surgical indication for severe congenital blepharoptosis,so as to standardize the choice of surgical timing and methods for pediatric congenital ptosis,improve the surgical success rate,and reduce the occurrence of amblyopia.