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解構「下瞼贅皮」
 

司徒志良醫生執業資料

解構「下瞼贅皮」

小明是個六歲的胖小孩,眼睛經常眨個不停,常常用手搓揉眼睛,還會間歇性眼紅、怕光、流淚,有時還會喊眼睛痛。媽媽以為小明是眼睛過敏,把他帶來眼科醫院檢查,檢查後發現小明的問題其實是下眼皮過多,又稱「下瞼贅皮」(Epiblepharon),導致眼皮內翻和眼睫毛被向內擠,持續刺激角膜,引起上述病徵。

「下瞼贅皮」常見於東方人的小孩,尤其是臉較大或肥胖者更常見。「下瞼贅皮」的原因是下眼皮的皮膚過多或肌肉肥厚而產生水平皺摺,使原本向外生長的眼睫毛向內捲,碰觸到角膜,而角膜長期受到睫毛摩擦會產生點狀破皮,若不積極治療有可能造成角膜發炎潰瘍,留下疤痕,影響視力發育。

治療方面,如果睫毛摩擦角膜的程度不嚴重,可先用滋潤藥水及藥膏來保護角膜,舒緩症狀;大部分的患童隨著年齡增長,臉部發育,其贅皮和症狀大多會自動消失。個別較嚴重之病例則可考慮用手術治療,方法是將下眼皮多餘的皮膚和肌肉切除,把皮下組織釘在瞼板上,使下眼皮的睫毛往外翻出,根本解決角膜受傷的問題。作者為外科專科醫生.

資料來源: AM730 30-01-2015

選文來自: 香港E大夫 / 醫大夫

The above information is not medical advice, for reference only / from : Michelle

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