Nonsurgical Treatment of Abnormal Eyelid Position Using Hyaluronic Acid Gel.
10.3341/jkos.2012.53.3.357
- Author:
Seok Joong CHUNG
1
;
Hyun Min SHIN
;
Helen LEW
Author Information
1. Department of Ophthalmology, Bundang CHA General Hospital, CHA University, Seongnam, Korea. eye@cha.ac.kr
- Publication Type:Original Article
- Keywords:
Ectropion;
Hyaluronic acid gel;
Lagopthalmos;
Lid retraction;
Nonsurgical treatment
- MeSH:
Ectropion;
Eye;
Eyelids;
Follow-Up Studies;
Humans;
Hyaluronic Acid;
Reflex
- From:Journal of the Korean Ophthalmological Society
2012;53(3):357-364
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
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.
