The Relationship of Amount of Resection and Time for Recovery of Bell's Phenomenon after Levator Resection in Congenital Ptosis.

IF 0.4 Q4 OPHTHALMOLOGY Open Ophthalmology Journal Pub Date : 2017-02-28 eCollection Date: 2017-01-01 DOI:10.2174/1874364101711010024

Ruchi Goel, Divya Kishore, Smriti Nagpal, Sparshi Jain, Tushar Agarwal

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引用次数: 5

Abstract

Background: Recovery of Bell`s phenomenon after levator resection is unpredicatable. Delayed recovery can result in vision threatening corneal complications.

Aim: To study the variability of Bell's phenomenon and time taken for its recovery following levator resection for blepharoptosis and to correlate it with the amount of resection.

Methods: A prospective observational study was conducted on 32 eyes of 32 patients diagnosed as unilateral simple congenital blepharoptosis who underwent levator resection at a tertiary care center between July 2013 and May 2015. Patients were followed up for 5 months and correction of ptosis, type of Bell`s, duration of Bell`s recovery and complications were noted.

Results: The study group ranged from 16-25 years with 15:17 male: female ratio. There were 9 mild, 16 moderate and 7 severe ptosis. Satisfactory correction was achieved in all cases. Good Bell`s recovery occurred in 13 eyes on first post-op day, in 2-14 days in 19 eyes and 28 days in 1 eye. Inverse Bell`s was noted along with lid oedema and ecchymosis in 2 patients. Large resections (23-26mm) were associated with poor Bell`s on the first postoperative day (p=0.027, Fisher`s exact test). However, the duration required for recovery of Bell`s phenomenon did not show any significant difference with the amount of resection. (p=0.248, Mann Whitney test). Larger resections resulted in greater lagophthalmos (correlation=0.830, p<0.0001). Patients with recovery of Bell`s delayed for more than 7 days were associated with greater number of complications (p=0.001 Fisher`s Exact Test).

Conclusion: Close monitoring for Bell`s recovery is required following levator resection.

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先天性上睑下垂提上睑肌切除术后贝尔现象恢复时间与切除量的关系。

背景:提上睑肌切除术后贝尔现象的恢复是不可预测的。延迟恢复可导致威胁视力的角膜并发症。目的:研究上睑下垂提上睑肌切除术后贝尔现象的变异性及其恢复时间，并探讨其与手术切除量的关系。方法:对2013年7月至2015年5月在某三级保健中心行提上睑下垂切除术的32例单侧单纯性先天性上睑下垂患者的32只眼进行前瞻性观察研究。随访5个月，观察上睑下垂矫正情况、贝尔氏症类型、贝尔氏症恢复时间及并发症发生情况。结果:研究组年龄16 ~ 25岁，男女比例15:17。轻度上睑下垂9例，中度上睑下垂16例，重度上睑下垂7例。所有病例均获得满意的矫正。术后第一天13只眼恢复良好，2 ~ 14天19只眼，28天1只眼。2例伴有眼睑水肿和瘀斑。大切除(23-26mm)与术后第一天的贝尔评分差相关(p=0.027, Fisher精确检验)。然而，贝尔现象恢复所需的时间与切除量没有明显差异。(p=0.248, Mann Whitney检验)。结论:提上睑肌切除术后需密切监测贝尔氏恢复情况。

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来源期刊

Open Ophthalmology Journal OPHTHALMOLOGY-

CiteScore

0.50

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0.00%

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期刊介绍： The Open Ophthalmology Journal is an Open Access online journal, which publishes research articles, reviews/mini-reviews, letters and guest edited single topic issues in all important areas of experimental and clinical research in ophthalmology, including use of ophthalmological therapies, devices and surgical techniques. The Open Ophthalmology Journal, a peer-reviewed journal, is an important and reliable source of current information on developments in the field. The emphasis will be on publishing quality papers rapidly and making them freely available to researchers worldwide.