변형된 방추형결막절제술 및 가쪽눈꺼풀판띠고정술에 의한 퇴행성 눈꺼풀겉말림의 교정
Involutional Ectropion Repair with the Modified Medial Spindle and the Lateral Tarsal Strip Procedure
2
조회
0
다운로드
3
인용
0
참고문헌
키워드
초록
목적: 퇴행성 눈꺼풀겉말림 환자에서 변형된 방추형결막절제술 및 가쪽눈꺼풀판띠고정술의 병행 수술 효과를 알아보고자 하였다. 대상과 방법: 퇴행성 눈꺼풀겉말림으로 진단된 환자 12명 17안을 대상으로 아래눈꺼풀겉말림 정도에 따라 방추형결막절제의 크기와위치를 조절하는 변형된 방추형결막절제술 및 가쪽눈꺼풀판띠고정술을 시행하였다. 평균 경과 관찰기간은 19.6개월이었다. 결과: 12명 모두 남자이었고 평균 연령은 65.4세(54-78세)였다. 17안 모두에서 재발은 일어나지 않았으나 재수술을 요하지는 않는 경한아래눈꺼풀후퇴 1안과 경한 눈물점겉말림 1안이 경과기간 동안 관찰되었다. 결론: 변형된 방추형결막절제술 및 가쪽눈꺼풀판띠고정술의 병행 수술은 퇴행성 눈꺼풀겉말림의 치료에 있어 효과적인 방법으로 생각된다.
Abstract
Purpose: To evaluate the effects of the modified medial spindle and the lateral tarsal strip procedure in involutional ectropion patients. Methods: The lateral tarsal strip procedure with the modified medial spindle procedure that adjusts the size and the position of the spindle along the severity of lower eyelid eversion was performed on 17 eyes of 12 patients with involutional ectropion. The average follow-up period was 19.6 months. Results: All 12 patients were male, and the mean age was 65.4 years (range 54 to 78 years). There was no recurrence in any of the 17 eyelids. However, a mild lower lid retraction and a mild punctal eversion not requiring reoperation occurred in the follow-up period. Conclusions: The lateral tarsal strip procedure combined with the modified medial spindle appears to be effective in the surgical treatment of involutional ectropion.
참고문헌 (19)
- Collin JRO, "A Manual of Systematic Eyelid Surgery. 2nd ed", pp.27~40 (1989), Churchill Livingstone
- Levine MR, "Manual of Oculoplastic Surgery. 4th ed", pp.173~182 (2010), SLACK
- Bashour M, "Cause of involutional ectropion and entropion- age-related tarsal changes are key", Ophthal Plast ReconstrSurg, 16, pp.131~141 (2000)
- Smith B, "The “lazy-T" correction of ectropion of the lower punctum", Arch Ophthalmol, 94, pp.1149~1150 (1976)
- Della Rocca DA, "The lateral tarsal strip: illustrated pearls", Facial Plast Surg, 23, pp.200~202 (2007)
- Anderson RL, "The tarsal strip procedure", Arch Ophthalmol, 97, pp.2192~2196 (1979)
- Stefanvszvn MA, "The histopathology of involutional ectropion", Ophthalmology, 92, pp.120~127 (1985)
- O'Donnell B, "Age-related medial entropion of the lower eyelid", Australian N Z J Ophthalmol, 22, pp.183~186 (1994)
- Fong KC, "Correction of involutional lower eyelid medial ectropion with transconjunctival approach retractor plication and lateral tarsal strip", Acta Ophthalmol Scand, 84, pp.246~249 (2006)
- White WL, , pp.596~693 (1995), WB Saunders
- Wright KA, "Congenital eyelid anomalies, eyelid malpositions, and blepharoptosis, In Interactive ophthalmology on CD-ROM–textbook and review", pp.5191~5326 (1997), Williams & Wilkins
- Nerad JA, "The diagnosis and treatment of ectropion, In Oculoplastic Surgery. The Requisites in Ophthalmology", pp.71~88 (2001), Mosby
- Wesley RE, "Ectropion repair, In Oculoplastic Surgery, 3rd ed", pp.249~261 (1995), Raven
- Putterman AM, "Ectropion of the lower eyelid secondary to Muller's muscle-capsulopalpebral fascia detachment", Am J Ophthalmol, 85, pp.814~817 (1978)
- Wesley RE, "Tarsal ectropion from the detachment of the lower lid retractor", Am J Ophthalmol, 93, pp.491~495 (1982)
- Nowinski TS, "The medial spindle procedure for involutional medial ectropion", Arch Ophthalmol, 103, pp.1750~1753 (1985)
- Tse DT, "Surgical correction of lower eyelid tarsal ectropion by reinsertion of the retractors", Arch Ophthalmol, 109, pp.427~431 (1991)
- Shah-Desai S, "Role of the lower lid retractors in involutional ectropion repair", Orbit, 20, pp.81~86 (2001)
- Fruch BR, "Evaluation and treatment of the patient with ectropion", Ophthalmology, 89, pp.1049~1054 (1982)