Surgical treatment of epiphora with eyelid retraction after a lower eyelid surgery

• 발행기관: 대한미용의학회
• 저자명: Jae Hun Lee Nam Yeong Kim Hee Bae Ahn
• 간행물 정보: 『Journal of Cosmetic Medicine』Vol.4, No.2, 64~68쪽, 전체 5쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2020.12.30

영문 초록

Background: Because of the rapidly increasing demand for cosmetic surgery in Korea, the number of patients presenting with epiphora after lower eyelid surgery and diagnosed with retraction is currently increasing. Objective: To evaluate the effect of the lateral tarsal strip procedure (LTS) in patients with epiphora and eyelid retraction after lower eyelid surgery. Methods: A total of 145 eyes of 81 patients who reported to our hospital between January 2010 and February 2020 were included in the study. Twenty-six eyes of 17 patients underwent LTS, and 119 eyes of 64 patients underwent LTS combined with silicone tube intubation or endonasal dacryocystorhinostomy (DCR). The pre- and postoperative symptoms, margin reflex distance 2 (MRD2), tear meniscus height (TMH), and complications were retrospectively compared. Results: Seventy-two of the 81 patients (88.9%) showed improvements in epiphora. The improvements in TMH in the combined surgery and single surgery groups were 0.45±0.28 and 0.44±0.18 mm, respectively, showing postoperative improvements in both groups. MRD2 also improved to 0.62±0.66 and 0.27±0.68 mm in the combined surgery and single surgery groups, respectively. No significant difference was observed between the two groups. Conclusion: LTS is an effective surgical method for epiphora in patients experiencing eyelid retraction after lower eyelid surgery. Its combination with silicone tube intubation or endonasal DCR is considered effective for lacrimal pathway disorders.

목차

Introduction

Materials and methods

Results

Discussion

Conflicts of interest

References

키워드

endonasal dacryocystorhinostomy epiphora eyelid retraction lateral tarsal strip silicone tube intubation