깊은 윗눈꺼풀고랑이 있는 눈꺼풀처짐 환자에서의 눈꺼풀올림근절제술 결과

• 영문명: Surgical Outcomes of Levator Resection in Ptosis Patients with Deep Superior Sulcus
• 발행기관: 대한안과학회
• 저자명: 김종수 안희배,Jong Soo Kim, MD, Hee Bae Ahn, MD, PhD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume55,number12, 1734~1738쪽, 전체 5쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2014.12.15

영문 초록

Purpose: To investigate the characteristics and postoperative complications of ptosis patients with deep superior sulcus following levator resection surgery. Methods: Records of 33 ptosis patients (59 lids) with deep superior sulcus who underwent levator resection surgery from March 2008 to May 2013 were reviewed retrospectively. Operation success rate, reoperation rate, preoperative and postoperative marginal reflex distance 1 (MRD1), and levator function were compared and postoperative complications were evaluated. Results: The patient's mean age was 65.8 years. The MRD1 was -1.0 ± 1.4 mm preoperatively, 2.5 ± 1.2 mm at 1 month after surgery, and 2.3 ± 1.1 mm at 3 months after surgery. Operation success rate was 84.8%. At 1 month after surgery, 52.5% of lids had lagophthalmos as a surgery complication but later all recovered. Additionally, 44.1% of the patients had worn therapeutic contact lenses postoperatively for 7.0 ± 12.1 days. Conclusions: Occurrence rate of postoperative lagophthalmos was higher than in other previous studies suggesting a tendency for overcorrection in levator resection surgery for ptosis patients with deep superior sulcus. Additionally, levator resection surgery is cosmetically as well as functionally very effective for deep superior sulcus. J Korean Ophthalmol Soc 2014;55(12):1734-1738

키워드

Deep superior sulcus, Lagophthalmos, Levator resection, Ptosis