上部白血造形患者的眼睛干燥:一项研究比较orbicularis-sparing与orbicularis-excising技术
Osamah T Mian1,2, Christina M Lippe1,3,4, Asher Khan1,2
1Department of Ophthalmology, Dean McGee Eye Institute, University of Oklahoma Health Sciences Center, 608 Stanton L. Young Blvd, Oklahoma City, OK, 73104, USA.
概括
双边上眼皮白造术 (ULB) 使用眼皮节省或眼皮切割技术不会恶化干眼综合征 (DES) 度量. 无论是主观的还是客观的DES测量都在手术后保持稳定,无论使用哪种技术.
科学领域:
- 眼科医生 眼科 眼科
- 整形外科 整形外科 整形外科
- 眼镜塑料是一种眼镜塑料.
背景情况:
- 干眼综合征 (DES) 是一种常见的疾病,会影响患者的生活质量.
- 上眼白造形术 (ULB) 是一种手术程序,用于从眼上去除多余的皮肤和脂肪.
- 不同的ULB手术技术对DES的影响仍然是调查的主题.
研究的目的:
- 为了比较主观和客观干眼综合征 (DES) 的指标.
- 评估接受双边上眼皮白造术 (ULB) 的患者的结局.
- 评估orbicularis-sparing与orbicularis-excising技术对DES的影响.
主要方法:
- 进行了一次双盲随机临床试验.
- 患者被随机分为两个组:耳节省ULB或耳切除ULB.
- 主观 (SPEED分数) 和客观的DES评估在手术前,手术后1个月和1年进行.
主要成果:
- 在这两组中都没有观察到主观或客观DES指标的显著恶化.
- 标准患者评估眼睛干燥 (SPEED) 评分在两个组中都在术后下降.
- 在术前的DES严重程度和术后的主观改善之间发现了相关性.
结论:
- 在干眼综合征 (DES) 方面,Orbicularis-sparing和Orbicularis-excising两种ULB技术都是安全的.
- 外科医生可以自信地使用任何ULB技术,而不会对DES产生负面影响.
- 这些发现有助于管理患者和外科医生对术后干眼症状的期望.
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