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Early Changes in Astigmatism after Correction of Senile Upper Eyelid Skin Laxity |
Renhui Dou, Shumei Wen, Xiaoyu Yu, Haochen Guo, Hengli Lian |
The Eye Hospital of Wenzhou Medical University at Hangzhou, Hangzhou 310020, China |
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Abstract Objective: To investigate the early changes in ocular refraction after correction of upper eyelid skin laxity. Methods: This was a prospective case-control study. Patients with senile upper eyelid skin laxity were recruited from the Eye Hospital of Wenzhou Medical University at Hangzhou from July 2016 to December 2017. Sixty-two patients were divided into two groups: 40 patients (80 eyes) who underwent surgery were included in the treatment group, 22 patients (44 eyes) who declined surgery were included in the control group. The treatment group was examined preoperatively and 3 months postoperatively. The control group was initially examined and then re-examined 3 months later. The best corrected visual acuity, refractive errors, corneal curvature and central corneal thickness were analyzed. Paired t tests or rank sum tests were used to compare the differences within a groups, covariance analysis was used to compare the differences between the groups. Results: In the treatment group, astigmatism decreased after surgery; the mean change was 0.17 D (t=-3.31, P<0.001). There were no significant differences in corrected visual acuity, spherical equivalent diopter, corneal curvature or corneal thickness before and after surgery. There were no statistical differences in the control group when testing results were compared. There was a significant difference in astigmatism between the two groups (F=13.672, P<0.001), but no statistical differences in corrected visual acuity, spherical equivalent diopter, corneal curvature or corneal thickness. Conclusions: Astigmatism decreased early after surgical correction, but the astigmatic axis had no significant change.
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Received: 01 August 2018
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Fund:Science and Technology Planning Project of Wenzhou (Y20170778) |
Corresponding Authors:
Corresponding author: Shumei Wen, the Eye Hospital of Wenzhou Medical University at Hangzhou, Hangzhou 310020, China (Email: wsm72@163.com)
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[1] |
范先群, 毕肖萍, 陈宏, 等. 眼整形外科学. 北京: 北京科学技术出版社, 2009: 162.
|
[2] |
Rogers SA, Khan-Lim D, Manners RM.Does upper lid blepharoplasty improve contrast sensitivity? Ophthalmic Plast Reconstr Surg, 2012, 28(3): 163-165. DOI: 10.1097/IOP.0b013e31823d2125.
|
[3] |
陈旭, 甄雅贤. 皮肤老化的纵向研究: 从细纹到皱纹. 中华皮肤科杂志, 2012, 45(5): 379-380.
|
[4] |
龚铠, 解云, 朱新兴, 等. 重睑成形术矫正上睑皮肤松弛伴上睑内翻. 中国美容整形外科杂志, 2017, 28(9): 544-545. DOI: 10.3969/j.issn.1673-7040.2017.09.011.
|
[5] |
吴文渊, 孔豫苏, 鲁加祥, 等. 不同术式治疗中老年女性上睑区松弛的临床效果. 中华医学美学美容杂志, 2017, 23(1): 39-42. DOI: 10.3760/cma.j.issn.1671-0290.2017.01.012.
|
[6] |
Read SA, Collins MJ, Camey LG.The influence of eyelid morphology on normal corneal shape. Invest Ophthalmol Vis Sci, 2007, 48(1): 112-119. DOI: 10.1167/iovs.06-0675.
|
[7] |
胡蓉, 李冬梅, 侯志嘉, 等. 先天性上睑下垂的屈光状态及弱视情况. 中华眼视光学与视觉科学杂志, 2016, 18(5): 302-305. DOI: 10.3760/cma.j.issn.1674-845X.2016.05.011.
|
[8] |
王曦琅, 谭艺兰, 杨莹莹. 先天性上睑下垂矫正术对患儿眼表和屈光状态的影响. 国际眼科杂志, 2018, 18(3): 511-515. DOI: 10.3980/j.issn.1672-5123.2018.3.25.
|
[9] |
Zinkernagel MS, Ebneter A, Ammann-Rauch D.Effect of upper eyelid surgery on corneal topography. Arch Ophthalmol, 2007, 125(12): 1610-1612. DOI: 10.1001/archopht.125.12.1610.
|
[10] |
徐广第. 眼屈光学. 北京:军事医学科学出版社, 1995: 33.
|
|
|
|