Progress In The Diagnosis And Treatment Of Moderate And Severe Blepharoptosis Patients

Objective：Blepharoptosis is one of most common eye disease, andit’s clinical feature is shown as one or both eyelids are not able to lift orlift completely. As sight lines are sheltered, patients gradually form ahabit of wrinkling forehead,lifting eyelid for compensation when they arelooking up to see objects.Moreover, blepharoptosis could developabnormal spine morphology and impair physical development. Finally,long term of blepharoptosis would induce visual such as impairmentnearsightedness, amblyopia and astigmatism. Therefore, blepharoptosisshould be corrected in time to reduce harmful influence. Base on thistarget, this study focused on clinical experience of frontalismuscle-fascialflap suspension on moderate and severe blepharoptosis.Method: Analysis of clinical effect on42cases of blepharoptosispatients who received frontalismuscle-fascial flap suspension during from2003to2013.Surgery:The patient was placed in a supine position withlocal anaesthesia or general anesthesia. We will cut skin and theorbicularis muscle along double eyelid lines or surgical markers whichare drawn on eyes in advance to make two symmetrical horizontal stab incisions that are10mm till we can see the tarsal plate. Make sure thetransverse length of Frontalis muscle is about10mm and adjust positionof muscle flap to the front fascia tarsal.The notches are closed by ahorizontal mattress suture. At the same time,we shoud main the outcomemeasures were margin distance, eyelid shape and cornea state.Result： Based on objective criterion such as eye function recoveryand eye appearance after surgery, we concluded that the surgery canpromote eye function and recover with a good appearance after surgeryaccording to an average of6month of post-operation follow-up. Curativeeffect:95.2%satisfy;2.4%acceptable;2.4%, need secondary surgeryConclusion: Frontalismuscle-fascial flap suspension which treatmoderate and severe blepharoptosis patients has been widely quoted.Treatment experience of42clinical cases are discussed in this paperwhich reaffirms the therapeutic effect of frontalismuscle-fascial flapsuspension. But there are still some problems in intraoperative andpostoperative duration.This papers intend to avoid complications as muchas possible by discussing the matters needing attention in theoperation,and give a little hint to other doctors. Our clinical experience isas follows.1-Local anesthesia is better than that of general anesthesiawhen we choose anesthesia choice for patients.2-In a variety of reasonswill affect the postoperative binocular asymmetric situation.We have topay more attention to choose the operating method.3-The frontal muscle flap in children is very thin and brittle, we shoud also pay attention toprotect it.Doctors and parents can help strengthen postoperative functionexercise for children in time.4-Postoperative blink practice can help torecover quickly.5-Appropriate excessive correction should be put intouse.6-Give a double-eyelid surgery to single eyelid to strengthenaesthetics. This article summarizes the above considerations in order tostrengthen operation effect by analyzing the effect on frontalismuscle-fascial flap suspension on moderate and severe blepharoptosis.frontalismuscle-fascial flap suspension can make the patients moresatisfied,and it have certain reference and application value in clinic.