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:: جلد 20، شماره 4 - ( مجله چشم پزشکی ایران 1386 ) ::
جلد 20 شماره 4 صفحات 34-39 برگشت به فهرست نسخه ها
Combined Maximum Levator Resection and Septal Sling in Correction of Severe Blepharoptosis with Poor Levator Function: A Novel Surgical Technique
دكتر عباس عطارزاده، دكتر محمدحسین نوروززاده، دكتر محمد شریفی*، دكتر اسماعیل زمانی
، mosharifi@sums.ac.ir
چکیده:   (11756 مشاهده)

Purpose : The aim of this study is to present a novel surgical technique in the management of severe blepharoptosis with poor levator function.

Methods : Four patients (five eyes) were included in this study. Mean age of the patients was 15.3 years (range, 3-28 years). Preoperative levator function averaged 3.4± 0.9 mm . All of the patients underwent combined maximum levator resection and septal sling in the ptotic eye.

Results : The follow-up ranged from 4 to 10 months (mean, 8 months).Preoperative palpebral apertures averaged 4.4± 0.7 mm and postoperative apertures averaged 8.5± 0.4 mm (P<0.001). There was marked improvement in the aperture ( 4.1 mm ). The mean of margin reflex distance-1 (MRD-1) was increased from 0±1 preoperatively to 4.1±0.4 postoperatively (P<0.001). All the patients demonstrated symmetry of the upper eyelid position (less than 1 mm ), good lid crease position, and acceptable cosmetic outcome. All of the patients revealed some degree of lid lag and lagophthalmus. One patient developed exposure keratopathy associated with lagophthalmus which was treated successfully with lubrication.

Conclusion : This preliminary study shows that this new technique may be a useful alternative in the management of severe blepharoptosis associated with poor levator function.

 

Iranian Journal of Ophthalmology 200820(4):34-39
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نوع مطالعه: پژوهشی | موضوع مقاله: عمومى
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Attarzadeh A, Nowroozzadeh M, Sharifi M, Zamani E. Combined Maximum Levator Resection and Septal Sling in Correction of Severe Blepharoptosis with Poor Levator Function: A Novel Surgical Technique. Iranian Journal of Ophthalmology. 2008; 20 (4) :34-39
URL: http://irjo.org/article-1-190-fa.html

عطارزاده عباس، نوروززاده محمدحسین، شریفی محمد، زمانی اسماعیل. Combined Maximum Levator Resection and Septal Sling in Correction of Severe Blepharoptosis with Poor Levator Function: A Novel Surgical Technique. مجله چشم پزشکی ایران. 1386; 20 (4) :34-39

URL: http://irjo.org/article-1-190-fa.html



جلد 20، شماره 4 - ( مجله چشم پزشکی ایران 1386 ) برگشت به فهرست نسخه ها
مجله چشم پزشکی ایران Iranian Journal of Ophthalmology
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