Archives of Craniofacial Surgery (대한두개안면성형외과학회지)

Korean Cleft Palate-Craniofacial Association (대한두개안면성형외과학회)
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Postoperative Contralateral Blepharoptosis in Patients with Unilateral Blepharoptosis and Negative Hering's Law Dependence Test

헤링씨 법칙 비의존성 단안성 윗눈꺼풀처짐증 환자에서 수술 후 생긴 건측의 눈꺼풀처짐증

  • Ha, Won Ho (Department of Plastic and Reconstructive Surgery, Catholic University of Daegu School of Medicine) ;
  • Lee, Yong Jig (Department of Plastic and Reconstructive Surgery, Catholic University of Daegu School of Medicine) ;
  • Park, David Dae Hwan (Department of Plastic and Reconstructive Surgery, Catholic University of Daegu School of Medicine) ;
  • Han, Dong Gil (Department of Plastic and Reconstructive Surgery, Catholic University of Daegu School of Medicine) ;
  • Shim, Jeong Su (Department of Plastic and Reconstructive Surgery, Catholic University of Daegu School of Medicine)
  • 하원호 (대구가톨릭대학교 의과대학 성형외과학교실) ;
  • 이용직 (대구가톨릭대학교 의과대학 성형외과학교실) ;
  • 박대환 (대구가톨릭대학교 의과대학 성형외과학교실) ;
  • 한동길 (대구가톨릭대학교 의과대학 성형외과학교실) ;
  • 심정수 (대구가톨릭대학교 의과대학 성형외과학교실)
  • Received : 2013.02.24
  • Accepted : 2013.04.03
  • Published : 2013.04.09
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Abstract

Background: Correction of unilateral blepharoptosis is unexpectedly difficult because healthy eye is often affected by Hering's law. Methods: We measured changes of marginal reflex distance (MRD1) on the unaffected eyelids between preoperative and 3-month postoperative photographs after ptosis correction. This study analyzed 134 unilateral blepharoptosis patients with ptosis correction from February 2002 to February 2011. Fifty patients among them were negative in Hering's law dependence test. From the preoperative and postoperative photographs the MRD1 of unaffected upper eyelids were measured and adjusted with the average pupil diameter of Koreans. Mean age was 34.4 and male was 30 and female was 20. Average follow-up periods were 14 months. Results: Thirteenth unaffected eyes (26%) showed decreased MRD1, and 3 patients (6%) showed decreased MRD1 value over 1.0 mm. Then 3 patients needed additional operations for correction of preoperatively unaffected but ptotic eyelids. Conclusion: There were no meaningful data statistically in the value of MRD1 in every unaffected eye of the patients and in the difference between preoperative and postoperative MRD1 of groups divided according to severity, causes, and types of operation.

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