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我们自1988年来遇到2例额肌瓣悬吊术治疗重度上睑下垂术后并发角膜炎。例1 男,8岁。入院诊断为双侧重度上睑下垂合并突眼原因待查。体检:上睑提肌活动度2～3 mm,Bell 征(+),额肌功能良好,眼球运动及 CT 检查正常。在全麻下行双侧额肌瓣上睑悬吊术,悬吊高度为上睑缘位于角膜上缘,术毕涂眼膏保护角膜。术后第1天诉创口痛,但不觉眼球痛。体检见角膜干燥、皱缩,球结膜充血,眼球运动减弱,Bell 征(一),裂隙灯检查示角膜炎,经按角膜炎治疗,角膜留下白斑。例2 女,20岁。入院诊断为重度先天性右上睑下垂。体检:上睑提肌活动度3 mm,Bell 征(+),额肌功能良好,在局麻下行右侧额肌瓣上睑悬吊术,悬吊高度为平视时上睑缘
We have encountered 2 cases of frontal muscle flap suspension since 1988 for the treatment of severe blepharoptosis complicated with keratitis. Example 1 male, 8 years old. Admitted to diagnosis of bilateral severe blepharoptosis combined with exophthalmia to be investigated. Physical examination: levator muscle activity 2 ~ 3 mm, Bell sign (+), frontal muscle function is good, eye movement and CT examination was normal. Under general anesthesia bilateral frontal muscle flap eyelid suspension, the height of the upper eyelid is located in the upper edge of the cornea, ophthalmic surgery to protect the cornea. The first day after surgery suffers a wound pain, but does not feel eyeball pain. Physical examination showed corneal dryness, shrinkage, bulbar conjunctival hyperemia, decreased eye movement, Bell sign (a), slit lamp examination showed keratitis, according to the treatment of keratitis, left corneal leukoplakia. Example 2 Female, 20 years old. Admission was diagnosed with severe congenital right upper eyelid ptosis. Physical examination: Levator levator muscle activity of 3 mm, Bell sign (+), frontal muscle function well under local anesthesia right frontal muscle flap upper eyelid suspension, the height of the upper eyelid suspension