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히알루론 산을 이용한 비수술적 눈꺼풀 위치 이상의 치료효과
정석중,신현민,유혜린.Seok Joong Chung. MD. Hyun Min Shin. MD. Helen Lew. MD 대한안과학회 2012 대한안과학회지 Vol.53 No.3
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. J Korean Ophthalmol Soc 2012;53(3):357-364