한국인에서 안검하수의 원인별 분류

• 영문명: Classification of Ptosis in Korea
• 발행기관: 대한안과학회
• 저자명: 김인식 최정범 라상훈 이상렬,In-Sik Kim, M.D., Jung-Bum Choi, M.D., Sang-Hoon Rah, M.D., Sang-Yeul Lee, M.D.
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume46,number8, 1262~1269쪽, 전체 8쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2005.08.31

영문 초록

Purpose: To classify blepharoptosis in Korean patients, investigate the type of surgery used, and to compare the results with the data from Western countries. Methods: A total of 913 patients (1147 eyes) who underwent surgery for blepharoptosis from 1991 to 2003 were classified as either being congenital or acquired blepharoptosis, and then further subclassified into myogenic, aponeurotic, mechanical, or neurogenic ptosis according to Freuh’s mechanistic classification. The type of surgery for each type of blepharoptosis was investigated. Results: Of the 913 patients, 695 (76.1%) were congenital type, and 218 (23.9%) were acquired type. Freuh’s mechanistic classification by type was 84.7% myogenic type, 10.5% aponeurotic, 3.4% neurogenic, and 1.6% mechanical. By order of frequency, the type of surgery used was 60% frontalis suspension, 26.4% levator resection, 12.2% aponeurosis repair, and 1.4% conjunctivom?llerectomy. Conclusions: Congenital type was more common than acquired type. The proportion of congenital type was higher than the results reported from Western countries, but lower than those of previous Korean studies. This is probably due to the increased number of adults undergoing surgery for blepharoptosis compared to the past, and is a reflection of influence of socio-economic levels.

키워드

Acquired type, Blepharoptosis, Congenital type, Mechanistic classification