The Effect of Autologous Dermis-fixation to Orbital Periosteum in Superior Sulcus Deformity.

Kim, Kyun Hyung; Lee, Tae Soo; Hwang, Sang Jun

doi:2008.49.6.878

J Korean Ophthalmol Soc > Volume 49(6); 2008 > Article

Original Article

Journal of the Korean Ophthalmological Society 2008;49(6):878-885.
DOI: https://doi.org/10.3341/jkos.2008.49.6.878 Published online June 15, 2008.

The Effect of Autologous Dermis-fixation to Orbital Periosteum in Superior Sulcus Deformity.

Kyun Hyung Kim, Tae Soo Lee, Sang Jun Hwang

¹Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea. tsoooo@hanmail.net
²Jun Eye Clinic, Seoul, Korea.

깊은 위눈꺼풀고랑 환자에서 자가진피 골막고정술의 수술 결과

김균형¹ㆍ이태수¹ㆍ황상준²

Department of Ophthalmology, Korea University College of Medicine1, Seoul, Korea / Jun Eye Clinic2, Seoul, Korea

Abstract

PURPOSE
To evaluate the efficacy of autologus dermis-fixation on the orbital periosteum in patients with superior sulcus deformity. METHODS: From September 2005 to February 2007, an appropriate amount of a rolled autologus dermis was added to the site of superior sulcus deformity by means of fixation to the orbital periosteum via lid crease incision. Four patients had superior sulcus deformity after undergoing evisceration or other ocular surgeries. RESULTS: Superior sulcus deformities in all patients could be corrected satisfactorily with bilateral symmetry. During the follow-up period, no complications such as mechanical ptosis and recurrence of superior sulcus deformity were observed. CONCLUSIONS: The authors believe that autologus dermis-fixation to the orbital periosteum might be a useful method to correct superior sulcus deformity without disturbing movement of the upper eyelid. A study with a larger series of patients and longer follow-up period might be necessary in the future to obtain more information about autologous dermis-fixation to the periosteum in patients with superior sulcus deformity.

Key Words: Autologus dermis graft;Periosteal fixation;Superior sulcus deformity