위눈꺼풀뒤당김 환자에서 눈꺼풀올림근 후전술의 치료 효과

• 영문명: Surgical Outcome of Levator Recession for Correction of Upper Eyelid Retraction
• 발행기관: 대한안과학회
• 저자명: 이용은 백지선 정수경 손욱현 양석우,Yong Eun Lee, MD, Ji Sun Paik, MD, Su Kyung Jung, MD, Uk Hyun Sonn, MD, Suk Woo Yang, MD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume53,number10, 1378~1384쪽, 전체 7쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2012.10.15

영문 초록

Purpose: To assess the efficacy of levator recession under local anesthesia to treat upper eyelid retraction. Methods: Records of 12 patients (12 lids) were reviewed retrospectively. Postoperative cosmetic results were assessed as good, fair, or poor based on the upper lid height and symmetry. Preoperative and postoperative marginal reflex distance (MRD1, mm), upper eyelid asymmetry, lid lag, lagophthalmos, and ocular exposure symptoms were compared. The reoperation rate was also evaluated. Results: Causes accounting for upper lid retraction were Graves ophthalmopathy (9 lids, 75.0%), orbital pseudotumor (2 lids, 16.7%), and hypercorrection from previous ptosis operation (1 lid, 8.3%). At a mean ± standard deviation of 27.7 ± 24.0 months follow-up (range, 5-60 months), 11 patients (91.7%) showed significantly better cosmetic results. MRD1 decreased an average of 3.1 ± 1.3 mm from 6.3 ± 1.5 mm preoperatively to 3.2 ± 0.9 mm postoperatively (p < 0.001). Upper lid asymmetry, lagophthalmos, and lid lag were also reduced significantly (p < 0.001). Overcorrection occurred in 3 lids (25%) and required levator advancement. Eleven patients (91.7%) experienced complete resolution of dry eye symptoms following levator recession. Conclusions: Levator recession showed good cosmetic results up to 2 years after surgery for upper eyelid retraction. J Korean Ophthalmol Soc 2012;53(10):1378-1384

키워드

Asymmetry, Cosmetic results, Levator recession, Lid lag, Upper eyelid retraction