异体巩膜提上睑肌延长术治疗甲状腺相关眼病上睑退缩

Lengthening of levetor muscle with scleral graft to correct upper eyelidretraction in patients with thyroid-associated-ophthalmopathy

目的 评估异体巩膜提上睑肌延长术矫正甲状腺相关眼病上睑退缩的临床疗效。方法 对 10例(14眼 )以上睑退缩为主要表现的静止期甲状腺相关眼病患者 ,采用异体巩膜提上睑肌延长术矫正退缩的上睑 ,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。在术后 6个月有 2例 2眼出现眼睑退缩复发 ,1例 18眼轻度过矫。结论 异体巩膜提上睑肌延长术能有效矫正甲状腺相关眼病的中重度上睑退缩。

Objective:To evaluate the clinical effect of lengthening of levetor muscle with scleral graft in correcting upper eyelid retraction in patients with inactive thyroid-associated-ophthaimopathy. Methods:10 patients (14 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. We have found eyelid edema to be a common complication of sclera grafts. 1 eye was undercorrected. Recurrent retraction ocurred in 2 eyes in six months after surgery.Conclusions:Lengthening of levetor muscle with scleral graft is effective in correcting upper eyelid retraction.