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Surgical treatment of the floppy eyelid syndrome

https://doi.org/10.21516/2072-0076-2023-16-1-96-100

Abstract

Purpose: to evaluate the effectiveness of surgical treatment of the floppy eyelid syndrome. Material and methods. The clinical group consisted of 23 patients (46 eyes) with the floppy eyelid syndrome (16 men and 4 women), ave. aged 46,0 ± 2.6 years. Of these 20 patients underwent surgery for floppy eyelid syndrome by vertical and horizontal shortening of the upper eyelid with or without correction of blepharoptosis. The observation period ranged from 1 month to 10 years. Fragments resected during the operation were subjected to histological examination. Results. A histological study revealed a reduced quantity or absence of elastin in the tarsal plate, destruction of collagen fiber beams, malformation of hair follicles accompanied by moderate chronic inflammation, In the postoperative period, the complaints caused by involuntary ectropion of the upper eyelid disappeared in all patients, the palpebral fissures became maximally symmetric. Conclusion. Surgeries performed by our technologies result in the best possible anatomical arrangement of the upper eyelid within a single-stage procedure.

About the Authors

I. A. Filatova
Helmholtz National Medical Research Center of Eye Diseases
Russian Federation

Irina A. Filatova — Dr. of Med. Sci., professor, head of the department of plastic surgery and eye prosthetics

14/19, Sadovaya-Chernogryazskaya St., Moscow, 105062



Yu. P. Kondratieva
Helmholtz National Medical Research Center of Eye Diseases
Russian Federation

Yulia P. Kondratieva — Cand. of Med. Sci., head of plastic surgery and eye prosthetics unit

14/19, Sadovaya-Chernogryazskaya St., Moscow, 105062



I. M. Mohammad
Helmholtz National Medical Research Center of Eye Diseases
Russian Federation

Mohammad Ihab Mohammad Jamil — Cand. of Med. Sci., ophthalmologist of the department of plastic surgery and ocular prosthetics

14/19, Sadovaya-Chernogryazskaya St., Moscow, 105062



S. A. Shemetov
Helmholtz National Medical Research Center of Eye Diseases
Russian Federation

Sergey A. Shemetov — Cand. of Med. Sci., ophthalmologist of the department of plastic surgery and ocular prosthetics

14/19, Sadovaya-Chernogryazskaya St., Moscow, 105062



A. M. Maybogin
Helmholtz National Medical Research Center of Eye Diseases
Russian Federation

Artemy M. Maybogin — pathologist of the pathoanatomical department

14/19, Sadovaya-Chernogryazskaya St., Moscow, 105062



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For citations:


Filatova I.A., Kondratieva Yu.P., Mohammad I.M., Shemetov S.A., Maybogin A.M. Surgical treatment of the floppy eyelid syndrome. Russian Ophthalmological Journal. 2023;16(1):96-100. (In Russ.) https://doi.org/10.21516/2072-0076-2023-16-1-96-100

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ISSN 2072-0076 (Print)
ISSN 2587-5760 (Online)