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KMID : 0360220120530030357
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Journal of the Korean Ophthalmological Society
2012 Volume.53 No. 3 p.357 ~ p.364
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Nonsurgical Treatment of Abnormal Eyelid Position Using Hyaluronic Acid Gel
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Chung Seok-Joong
Shin Hyun-Min
Lew He-Len
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Abstract
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Purpose: The present study investigated the outcomes of nonsurgical treatment of abnormal eyelid position using hyaluronic acid gel.
Methods: Abnormal eyelid position including 18 eyes with lid retraction, 10 eyes with lagophthalmos, and 18 eyes with ectropion were treated with hyaluronic acid gel. The mean age was 50 ± 17.8 years and the mean observation period was 11 ± 2.4 months. The photographs of patients were taken before injection, 1 month, 4 months, and at the last follow-up after injection. The marginal reflex distance 1 (MRD1) and marginal reflex distance 2 (MRD2) of patients were measured and analyzed by the Image J Program. The severity of ectropion was graded by a scoring system.
Results: Ten eyes with lagopthalmos improved 1.9 ± 1.2 mm after injection. The 16 eyes with lid retraction improved 1.3 ± 0.9 mm. Twenty-three eyes with ectropion improved and 17 eyes (81%) were completely corrected. The average frequency of injection was 1.1 and the average dose of injection was 0.4 ± 0.12 cc. No significant complications were observed in any patient.
Conclusions: Hyaluronic acid gel injections can be used safely and effectively as a nonsurgical treatment for patients with abnormal eyelid position without any significant complications.
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KEYWORD
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Ectropion, Hyaluronic acid gel, Lagopthalmos, Lid retraction, Nonsurgical treatment
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