睑袋整复术 , 　下睑退缩 , 　下睑复位测量

Objective　To explore the curative effect of stratified strategic operation for correction of postoperative lower eyelid retraction in patients underwent lowering the lower eyelid. Methods　The original surgical approaches were traced in 16 cases (32 eyes) with lower eyelid retraction after lowering the lower eyelid: 3 cases (6 eyes) with transconjunctival approach, accounting for 18.7%; 9 cases ( 18 eyes) with transcutaneous approach, accounting for 56.3%; 4 cases with transconjunctival combined skin approach, accounting for 25.7%. According to the approach and clinical manifestations, the retraction of the anterior ,middle and posterior layers of the lower eyelid was preliminarily judged. The skin approach was used in all operations, removing

the sutures in the middle and posterior layers. And adopting Hamra lower eyelid blepharoplasty with releasing arcuate margin

and preserving orbital fat, to release scar contracture of orbital septum and orbital fat layer, and the middle and posterior elasticity and anatomical position were recovered. For the defects and deficiencies of the anterior layer, the suspension of orbicularis

oculi muscle and the lifting of the midfacial skin were used to supplement. Results　All 16 cases (32 eyes) were followed up

for 2-36 months, with an average of 13.1 months. All cases were significantly corrected and improved, and the satisfaction rate

was 93.5%. Conclusion　For the mild to moderate lower eyelid retraction caused by lowering the lower eyelid, suture removal,

release of scar adhesion and good reduction can be achieved, combined with Hamra lower blepharoplasty and orbicularis oculi

Lower eyelid blepharoplasty, 　Lower eyelid retraction, 　Lower eyelid reduction measurement