J Korean Ophthalmol Soc > Volume 52(5); 2011 > Article
Journal of the Korean Ophthalmological Society 2011;52(5):582-588.
DOI: https://doi.org/10.3341/jkos.2011.52.5.582    Published online May 15, 2011.
Histopathologic Properties of Eyelid Skin and Conjunctiva in Patients with Dermatochalasis.
Jong seo Park, Sung Woo Ha, Helen Lew
Department of Ophthalmology, CHA Bundang Medical Center, CHA University, Seongnam, Korea. eye@cha.ac.kr
위눈꺼풀이완증 환자에서 피부와 결막의 조직학적 소견
박종서⋅하성우⋅유혜린
Department of Ophthalmology, CHA Bundang Medical Center, CHA University, Seongnam, Korea
Abstract
PURPOSE
To evaluate histopathologic properties of eyelid skin and conjunctiva and the association between clinical manifestation and histopathologic findings. METHODS: A prospective study was conducted on the histologic findings of the upper eyelid skin and conjunctiva performed from November 2009 to February 2010 in 27 patients for upper eyelid blepharoplasty procedures. Histopathologic studies were performed for specimens collected from the upper eyelid skin and inferotemporal bulbar conjunctiva. Preoperative photographs of the upper eyelid and conjunctiva were taken to grade clinical severity of dermatochalasis and conjunctivochalasis. RESULTS: Decrease of collagen density and elastic degeneration in the eyelid skin and conjunctiva were significantly associated with aging (p < 0.001, p = 0.001, p = 0.001, p < 0.001). Clinical severity of dermatochalasis was correlated with a decrease of collagen density and elastic degeneration in the eyelid skin, and clinical severity of conjunctivochalasis was associated with a decrease of collagen density, elastic degeneration and lymphangiectasia in conjunctiva (p < 0.001). CONCLUSIONS: Change of collagen fiber and elastic fiber in the eyelid skin and conjunctiva was observed with aging. Relaxation of the eyelid skin and conjunctiva was correlated with histologic findings.
Key Words: Collagen;Conjunctivochalasis;Dermatochalasis;Elastic fiber


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