Background:This study was designed to examine if patients undergoing the same operative procedure(blepharochalasis operation)have different subjective recognition of dry eye problems depending n whether they had he op...Background:This study was designed to examine if patients undergoing the same operative procedure(blepharochalasis operation)have different subjective recognition of dry eye problems depending n whether they had he operation for cosmetic or medical reasons.Patients and Method:The study included 32 patients(25 women,7 men,mean age 57.8± 12.1 years),who underwent blepharochalasis operation between 1/2005 and 5/2005.In 17 patients(group 1)the operation was done for cosmetic reasons,in 15 patients we found a medical indication(group 2).We evaluated the subjective discomfort from the lid problems as well as the satisfaction with the operation in general and pre-or postoperative recognition of dry eye problems(all done by scales).Additionally we measured tear secretion by Schirmer’ s test and break-up time before and after operation.Results:The subjective recognition of a dry eye was stronger in group 1 than in group 2 before and after operation(p < 0.005),but objective data were nearly identically(BUT,Schirmer’ s test).Conclusion:When operated due to cosmetic reasons the stronger recognition of sicca problems(while objectively lacking)is may be caused by a stronger fixation on the lid disease itself.It seems necessary to document objective data for that reason.展开更多
正常人在无额肌参与情况下双眼向正前方平视时，上睑覆盖上方角膜约1．5～2 mm。上睑下垂系指由于提上睑肌功能不全或消失，或其他原因所致的上睑部分或全部不能提起所造成的下垂状态。下垂的上睑遮盖角膜超过2 mm ，甚至部分或全部遮...正常人在无额肌参与情况下双眼向正前方平视时，上睑覆盖上方角膜约1．5～2 mm。上睑下垂系指由于提上睑肌功能不全或消失，或其他原因所致的上睑部分或全部不能提起所造成的下垂状态。下垂的上睑遮盖角膜超过2 mm ，甚至部分或全部遮盖瞳孔而影响视力。为了视物，患者往往仰首下视或过度收缩额肌以提高上睑，结果导致额部皱纹增加，眉毛抬高，形成上睑下垂患者特有的面容。上睑下垂是眼科一种常见的疾病，由于对人的外貌影响较大，因而患者求治迫切。临床上对提上睑肌肌力4 mm以上的，通常选择提上睑肌缩短术，其中肌力大于等于10 m m 的，则可选择提上睑肌腱膜折叠术，或睑板Muller’s肌切除术等，往往都能能达到良好的治疗效果。而对提上睑肌肌力几乎完全丧失的上睑下垂，目前只能选择利用额肌的方法矫正上睑下垂，我们通常选用同种异体阔筋膜作筋膜悬吊术，治疗效果肯定，但常受到异体阔筋膜来源供应的制约。用自体筋膜则多增加患者的痛苦与创伤。现在我们选择行眉区额肌筋膜瓣作上睑下垂矫正术，治疗了提上睑肌肌力4 mm以下的上睑下垂患者，效果良好，手术并发症发生率低。现报告如下。展开更多
文摘Background:This study was designed to examine if patients undergoing the same operative procedure(blepharochalasis operation)have different subjective recognition of dry eye problems depending n whether they had he operation for cosmetic or medical reasons.Patients and Method:The study included 32 patients(25 women,7 men,mean age 57.8± 12.1 years),who underwent blepharochalasis operation between 1/2005 and 5/2005.In 17 patients(group 1)the operation was done for cosmetic reasons,in 15 patients we found a medical indication(group 2).We evaluated the subjective discomfort from the lid problems as well as the satisfaction with the operation in general and pre-or postoperative recognition of dry eye problems(all done by scales).Additionally we measured tear secretion by Schirmer’ s test and break-up time before and after operation.Results:The subjective recognition of a dry eye was stronger in group 1 than in group 2 before and after operation(p < 0.005),but objective data were nearly identically(BUT,Schirmer’ s test).Conclusion:When operated due to cosmetic reasons the stronger recognition of sicca problems(while objectively lacking)is may be caused by a stronger fixation on the lid disease itself.It seems necessary to document objective data for that reason.
文摘正常人在无额肌参与情况下双眼向正前方平视时，上睑覆盖上方角膜约1．5～2 mm。上睑下垂系指由于提上睑肌功能不全或消失，或其他原因所致的上睑部分或全部不能提起所造成的下垂状态。下垂的上睑遮盖角膜超过2 mm ，甚至部分或全部遮盖瞳孔而影响视力。为了视物，患者往往仰首下视或过度收缩额肌以提高上睑，结果导致额部皱纹增加，眉毛抬高，形成上睑下垂患者特有的面容。上睑下垂是眼科一种常见的疾病，由于对人的外貌影响较大，因而患者求治迫切。临床上对提上睑肌肌力4 mm以上的，通常选择提上睑肌缩短术，其中肌力大于等于10 m m 的，则可选择提上睑肌腱膜折叠术，或睑板Muller’s肌切除术等，往往都能能达到良好的治疗效果。而对提上睑肌肌力几乎完全丧失的上睑下垂，目前只能选择利用额肌的方法矫正上睑下垂，我们通常选用同种异体阔筋膜作筋膜悬吊术，治疗效果肯定，但常受到异体阔筋膜来源供应的制约。用自体筋膜则多增加患者的痛苦与创伤。现在我们选择行眉区额肌筋膜瓣作上睑下垂矫正术，治疗了提上睑肌肌力4 mm以下的上睑下垂患者，效果良好，手术并发症发生率低。现报告如下。
