Nonsurgical Treatment of Abnormal Eyelid Position Using Hyaluronic Acid Gel.

Chung, Seok Joong; Shin, Hyun Min; Lew, Helen

doi:2012.53.3.357

J Korean Ophthalmol Soc > Volume 53(3); 2012 > Article

Original Article

Journal of the Korean Ophthalmological Society 2012;53(3):357-364.
DOI: https://doi.org/10.3341/jkos.2012.53.3.357 Published online March 15, 2012.

Nonsurgical Treatment of Abnormal Eyelid Position Using Hyaluronic Acid Gel.

Seok Joong Chung, Hyun Min Shin, Helen Lew

Department of Ophthalmology, Bundang CHA General Hospital, CHA University, Seongnam, Korea. eye@cha.ac.kr

히알루론 산을 이용한 비수술적 눈꺼풀 위치 이상의 치료효과

정석중⋅신현민⋅유혜린

Department of Ophthalmology, Bundang CHA General Hospital, CHA University, Seongnam, Korea

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.

Key Words: Ectropion;Hyaluronic acid gel;Lagopthalmos;Lid retraction;Nonsurgical treatment