Eye protective roads ｜ What should I do if the tricky "paralysis eyelids"?

Author:Guangdong Provincial Hospital Time:2022.06.14

Open -column

"One inch of autumn waves, Qianhu Mingzhu has not been conscious." We understand and perceive the world through our eyes, and our eyes can also show the power of the soul. Eye disease not only affects visual function, but also affects its own image. This column will regularly push the knowledge, treatment and health care knowledge of eye plastic surgery, fundus disease, and adolescent myopia, and provide better opinions and popular science knowledge for the windows of your mind.

The lower eyelids can generally be divided into five types: congenital, spasm, age, paralysis, and scarring. It is a common disease of the ophthalmology, which not only affects the appearance, but also does not only affect the pathogen in the air to make the pathogen in the air directly contact the cornea. It can cause keratitis, conjunctival mucosal epithelium, tears and other symptoms, and severe cases can cause keratin ulcers and blindness. Due to various reasons, the facial nerve paralysis is caused by the ineffectiveness of the lower eyelids after the long period of time, the nerve function is lost, the lower eyelids are overwhelmed, and the eyelid cracks are incomplete.

Question 1: Why does paralysis eyelid reverse appear?

The maintenance of the normal shape of the lower eyelid is supported by the eyelids, ligament and the wheel -orbicis muscle. The orbicularisis muscles are facial expression muscles and are dominated by facial nerves. The peripheral nerve palsy (for example, facial paralysis and facial neuritis), the loss of the orbicularis muscle contraction function, and the gravity effect of the lower eyelids, which can not maintain the stability of the eyelid edge and cause external turns.

Question 2: Can paralysis be cured?

Except for surgical treatment, there is currently no good solution. There are many commonly used surgical methods, including part of the lower meibrioplasty, temporal muscle displacement, orbidispotisis suspension, and lower eyelids to shorten the outer tough ligament suspension fixation. Commonly used::

1. Partial resection of the lower eyelid combined with broad fascia suspension:

Internal and external infiltration anesthesia in the lower eyelid. The lower side of the eyes is about 5mm as a vertical incision to separate and reveal the internal ligament. Remove part of the meib "along the triangle. The removed meibbeton is fixed with silk threads with surgery. Take another one thigh and a wide fascia. After trimming, suture the upper end of the incision of the cricket and fix it at the internal ligament. Observe the lower eyelid to reply to normal and use a beauty surgical line to suture.

2. Improve the transposition of the temporal muscle combined with broad fascia suspension:

The main reason is that the temporal muscle on the front of the same eye and ear screen is used as an oblique incision under the top of the ingredients, exposing the temporal muscle and tunnel at the nearby eye. In addition, one wide fascia is taken, and the free -end fascia and the free -end kiss of the width fascia and temporal muscle beam are sutured to form a temporal muscle wide fascia beam. Put the temporal wide fascia beam from the inside of the tunnel at the outer incision, and the lower eyelid between the inner and outer tightness is leaned against the eyelid margin as the tunnel. , Properly tighten, suture with beauty surgical lines after the lower eyelid is returned to normal.

Question 3: What are the risks of this operation? What should I pay attention to after surgery?

The current lower eyelid surgery is very mature. While ensuring the normal position of the lower eyelids, it protects important tissues such as tears, cornea, conjunctiva, etc., with beautiful skin incision, in line with natural forms, simple surgery, less bleeding, surgery, surgery Own healing is a bit good.

For patients with large ages, long vertical time, and epithelialization of lower eyelid mucosa, the eyelid tissue has a certain degree of degeneration and hardening, and the curative effect of surgery is average. It is easy to leave scars after surgery to affect the appearance. The two main surgical methods mentioned above rarely occur in complications, and most patients can receive good results.

Question 4: Is there a way to prevent this disease?

The cause of paralytic eyelids is facial paralysis. Therefore, the most important thing to prevent paralysis of external eyelids is to prevent the occurrence of surface inflammation. The occurrence of facial neuritis is mainly to pay more attention to hygiene and cleaning. For example, take a bath often to avoid often contacting some unclean foods and drink plenty of water. In addition, you should often exercise your body to improve your resistance.

When the weather is cold, you should take warm measures to keep your body, especially the face, to avoid cold stimulation of the body. If you are hot in summer, remember not to be greedy for cooling, avoid long -term air conditioners or fans to blow the face, after bathing or drinking, after bathing or drinking Pay attention to the body to keep warm, and avoid letting the wind blow up the body and face.

You should also pay attention to rest to ensure that the sleep time is sufficient. When you usually watch TV or computer less, try to avoid various mental stimuli, and you cannot cause excessive fatigue.

Pay attention to adjusting the diet, eat less spicy and greasy and difficult to digest food, you should eat more green vegetables and fruits, such as green peppers, grapes, bitter gourds, eggplant, etc. Resistance. This is of course helpful to prevent the emergence of facial neuritis.

In summary, the most important thing is to prevent and active treatment for paralysis of the disease. Preventing facial nerve inflammation and facial paralysis are mainly to pay attention to facial warmth and daily hygiene and diet, and pay attention to the combination of work and rest. For patients with paralyzed eyelids, they should not ignore the protection of eyelids on the eyes. They need to go to the hospital to actively treat them to prevent diseases from important parts such as cornea and conjunctiva.

Author of this issue: