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УДК: | УДК 617.7 DOI:https://doi.org/10.25276/2410-1257-2019-3-48-49 |
E.E. Lukyanova, R.Sh. Ishbulatov
Surgical treatment of blepharoptosis
Abstract
Surgical treatment of blepharoptosis
E.E. Lukyanova, R.Sh. Ishbulatov
Ufa Eye Research Institute, Ufa, Russia
Purpose. To evaluate the effectiveness of surgical treatment of ptosis of the upper eyelid with the method of muscular - conjunctival resection of the cartilage of the upper eyelid.
Material and methods. The surgical treatment of blepharoptosis was analyzed in 18 patients (19 eyes) with blepharoptosis. 10 (55.6%), men – 8 (44.4%). The average age of patients at the time of initial treatment was 48.7 ± 20.6 years.
Results. After surgical treatment, positive (0.5-1.5 mm) MRD1 indices were noted. In the early postoperative period, in two cases keratopathy was observed, caused by lagophthalmos within 1–2 mm.In 17 patients (94.4%) a good result was achieved, in 1 – satisfactory. In 1 patient, additional surgical intervention was required to eliminate the asymmetry of the palpebral fissures.
In the postoperative period, an increase in the palpebral fissure to 8-10 mm was observed. Excursion of the upper eyelid improved to 8-11 mm. Postoperative lagophthalmos was eliminated within 1 month.
Conclusion. When performing muscular - conjunctival resection of the upper eyelid cartilage, a good functional and cosmetic result is achieved with the good function of the levator upper eyelid.
When choosing the method of surgical treatment of ptosis of the upper eyelid, it is necessary to base on the presence or absence of levator function, the degree of blepharoptosis.
Key words: ptosis of the upper eyelid, levator function, surgical treatment.
Surgical treatment of blepharoptosis
E.E. Lukyanova, R.Sh. Ishbulatov
Ufa Eye Research Institute, Ufa, Russia
Purpose. To evaluate the effectiveness of surgical treatment of ptosis of the upper eyelid with the method of muscular - conjunctival resection of the cartilage of the upper eyelid.
Material and methods. The surgical treatment of blepharoptosis was analyzed in 18 patients (19 eyes) with blepharoptosis. 10 (55.6%), men – 8 (44.4%). The average age of patients at the time of initial treatment was 48.7 ± 20.6 years.
Results. After surgical treatment, positive (0.5-1.5 mm) MRD1 indices were noted. In the early postoperative period, in two cases keratopathy was observed, caused by lagophthalmos within 1–2 mm.In 17 patients (94.4%) a good result was achieved, in 1 – satisfactory. In 1 patient, additional surgical intervention was required to eliminate the asymmetry of the palpebral fissures.
In the postoperative period, an increase in the palpebral fissure to 8-10 mm was observed. Excursion of the upper eyelid improved to 8-11 mm. Postoperative lagophthalmos was eliminated within 1 month.
Conclusion. When performing muscular - conjunctival resection of the upper eyelid cartilage, a good functional and cosmetic result is achieved with the good function of the levator upper eyelid.
When choosing the method of surgical treatment of ptosis of the upper eyelid, it is necessary to base on the presence or absence of levator function, the degree of blepharoptosis.
Key words: ptosis of the upper eyelid, levator function, surgical treatment.
Страница источника: 48-49
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Офтальмологические клиники, производители и поставщики оборудования
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Проекта Российская Офтальмология Онлайн