组织工程与重建外科杂志2025，Vol.21Issue(5)：447-451,5.DOI:10.3969/j.issn.1673-0364.2025.05.006
眼咽型肌营养不良性上睑下垂手术策略及疗效分析
Surgical correction strategy and outcome analysis of blepharoptosis in oculopharyngeal muscular dystrophy
秦碧萱 1张举 2侯志嘉 2张旭 2宋一帆 3李冬梅4
作者信息
- 1. 100101 北京市 北京爱尔眼科医院
- 2. 100730 北京市 首都医科大学附属北京同仁医院
- 3. 100091 北京市 北京大学第三医院
- 4. 100101 北京市 北京爱尔眼科医院||100730 北京市 首都医科大学附属北京同仁医院
- 折叠
摘要
Abstract
Objective To explore the surgical correction strategy and outcome of blepharoptosis in oculopharyngeal muscular dystrophy.Methods It was a retrospective case series study.The clinical records of 8 OPMD patients treated by the same oculoplastic surgeon between January 2015 and December 2023 were analyzed.In the 8 patients,5 were male and 3 were female.The range of age was 55-64 years.All of the participants received massive levator resection for the correction of blepharoptosis.The preoperative and postoperative degree of change in upper eyelid height was measured.Paired sample t test was used to compare the preoperative and postoperative data.Results Postoperative follow up for patient was conducted for 6-73 months.All patients achieved satisfactory eyelid height within 6 months postoperatively.Mild blepharoptosis recurred in 2 patient three and five years after surgery.The rest cases showed no recurrence.At 6 months postoperatively,the palpebral fissure height increased by(3.25±1.00)mm,and the MRD1 increased by(3.13±1.03)mm.The differences between the preoperative and postoperative data were significant(t=13.000,P=0.000;t=12.199,P=0.000).Transient mild corneal epithelial defects occurred in 6 patients due to incomplete closure,which resolved by intensified ocular surface management.Conclusion Massive levator resection is an effective method for the correction of blepharoptosis in oculopharyngeal muscular dystrophy,with good aesthetic outcome,low recurrence rate and few complications.关键词
眼咽型肌营养不良/上睑下垂/上睑提肌缩短术/眼整形手术Key words
Oculopharyngeal muscular dystrophy/Blepharoptosis/Levator resection/Ocular plastic surgery分类
医药卫生引用本文复制引用
秦碧萱,张举,侯志嘉,张旭,宋一帆,李冬梅..眼咽型肌营养不良性上睑下垂手术策略及疗效分析[J].组织工程与重建外科杂志,2025,21(5):447-451,5.
