J Korean Ophthalmol Soc > Volume 51(11); 2010 > Article
Journal of the Korean Ophthalmological Society 2010;51(11):1427-1430.
DOI: https://doi.org/10.3341/jkos.2010.51.11.1427    Published online November 15, 2010.
Analysis of Age-related Changes in the Lower Lid and Soft Tissue Using Computed Tomography.
Won Yeol Ryu, Byung Uk Ko, Woo Jin Jeung, Hee Bae Ahn
Department of Ophthalmology, Dong-A University College of Medicine, Busan, Korea. hbahn@dau.ac.kr
전산화단층촬영을 이용한 아래 눈꺼풀 및 눈꺼풀 내 구조의 연령별 위치 변화에 대한 분석
류원열ㆍ고병욱ㆍ정우진ㆍ안희배
Department of Ophthalmology, Dong-A University College of Medicine, Busan, Korea
Abstract
PURPOSE
The anatomic relationships of the lower lid and soft tissue between younger and older groups were compared using CT scans for confirming the negative vector relationship in the Korean population. METHODS: The study sample was composed of 100 patients with no history of previous surgery and no ocular disease. Two groups of 100 patients, younger (less than 30 years of age) versus older (above 50 years of age), were studied using CT scans. The distances from the anterior cornea to the lower lid fat, inferior orbital rim and anterior cheek mass were measured at the midpupillary plane. RESULTS: The mean age of the younger group was 22.0 years (ages 14 through 29), compared with 60.6 years (ages 53 thru 73) for the older group. Comparison of mean linear measurements revealed an anterior movement of the lower lid fat between younger and older groups (-5.09 mm vs. -3.50 mm, respectively, P < 0.01). A regression of the inferior orbital rim (-6.93 mm vs. -8.98 mm, P < 0.01) and anterior cheek mass (3.07 mm vs. 0.43 mm, P < 0.01) was observed with age in the sagittal cross section view. CONCLUSIONS: The present study demonstrates the orbital remodeling according to age in the Korean population. Because the negative vector is more common in the elderly and portends a greater risk for lower lid complications after surgery, surgeons need to consider the orbital remodeling according to age before surgery.
Key Words: CT scans;Lower lid complications;Negative vector relationship;Orbital remodeling


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