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NR 4-6/2005
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Plastyka powieki
kąta wewnętrznego metodą Lazy-T – ocena skuteczności metody
operacyjnej
The Evaluation of the Medial
Canthus Blepharoplasty Efficacy Using Lazy-T Method
Radosław Różycki, Beata Żelichowska
Z Kliniki Okulistyki Wojskowego Instytutu Medycznego w Warszawie
Kierownik: prof. dr hab. n. med. Andrzej Stankiewicz |
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| Summary: |
Purpose: To
evaluate the efficacy of surgical „Lazy-T” method used
to correct ectropion of the lower punctum with the
inferior lid laxity and the medial canthal tendon.
Method and material: Between January 2004 and
February 2005, four patients of mean age 67 years (±12)
were operated with this method. In two patients, one
eyelid was operated; the other two patients underwent
bilateral lid surgery. Preoperative qualifications
included: subjective assessment of epiphora (range 0-10
points), where 0 represents loss of epiphora and 10
points maximum intensification with ectropion of the
lower punctum, laxity of the inferior eyelid more than
10 mm, and laxity of the medial canthal tendon of 2-nd
degree or more. Two subjects, who expressed their
consent, underwent lacrimal scintigraphy.
Surgical technique included excise of the middle part of
the lid at its full thickness, laterally from lower
punctum, and correction of the conjunctiva. The
follow-up period was 6 months averagely.
Results: All patients reported reduction of
epiphora of 5 points on the average. Eyelid laxity
decreased by mean 4.5 mm (±1.0 mm). In two patients
epiphora regressed, in two others – decreased. All
patients evaluated the cosmetic result as satisfactory.
Conclusions: The „Lazy-T” correction is an
effective procedure, which restores the lower punctum
into its normal anatomical position. It is a simple
surgical technique that can free patients from epiphora. |
| Słowa kluczowe: |
odwinięcie powieki dolnej,
łzawienie, metoda Smith Lazy-T. |
| Key words: |
ectropion of the lower
eyelid, epiphora, Smith Lazy-T procedure. |
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