Management of Unsatisfactory Postoperative Double Eyelid With Intralesional Corticosteroid Injection

Purpose: The present study was designed to observe the curative effect of early intralesional corticosteroid injection to treat unsatisfactory double eyelid.Methods: This retrospective, observational study included 30 female patients (age 22–35 years) receiving intralesional corticosteroid injection...

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Main Authors: Siyi Zhang, Yixiong Zhou, Fei Yu, Dan Yan, Yan Yan, Meng Zhou, Yao Fu, Yang Lu
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-03-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2021.619547/full
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author Siyi Zhang
Siyi Zhang
Yixiong Zhou
Yixiong Zhou
Fei Yu
Fei Yu
Dan Yan
Dan Yan
Yan Yan
Yan Yan
Meng Zhou
Meng Zhou
Yao Fu
Yao Fu
Yang Lu
Yang Lu
author_facet Siyi Zhang
Siyi Zhang
Yixiong Zhou
Yixiong Zhou
Fei Yu
Fei Yu
Dan Yan
Dan Yan
Yan Yan
Yan Yan
Meng Zhou
Meng Zhou
Yao Fu
Yao Fu
Yang Lu
Yang Lu
author_sort Siyi Zhang
collection DOAJ
description Purpose: The present study was designed to observe the curative effect of early intralesional corticosteroid injection to treat unsatisfactory double eyelid.Methods: This retrospective, observational study included 30 female patients (age 22–35 years) receiving intralesional corticosteroid injection after complaining about the unsatisfactory double eyelid post-transcutaneous upper eyelid blepharoplasty. The postoperative double eyelid anomalies included multiple folds, sunken eyelids, and severe postoperative eyelid edema. The evaluation of the clinical effect was based on the bilateral symmetry of the eyelid, the placement of the lid fold, the radian of the double eyelid, and the extent of the swelling and depression.Results: Multiple folds were observed in 11 (36.67%) patients, sunken eyelids in 9 (30.00%) patients, and severe postoperative eyelid edema in 10 (33.33%) patients. Among them, 17 (56.67%) patients received one intralesional injection and experienced significant improvement in the eyelid, while 8 (26.67%) accepted another injection at 1 month after the first injection and achieved marked improvement. The remaining 5 (16.67%) patients were dissatisfied with the results and might need further repair surgery: 2 patients had multiple folds, 2 showed postoperative edema, and 1 presented sunken eyelids. None of the patients reported any adverse reactions.Conclusion: Intralesional corticosteroid injection for the correction of the postoperative unsatisfactory double eyelid is safe and convenient, and provides a novel method for early intervention.
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spelling doaj.art-50505b9ac2a3426788eb43ad698cee442022-12-21T21:27:50ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2021-03-01810.3389/fmed.2021.619547619547Management of Unsatisfactory Postoperative Double Eyelid With Intralesional Corticosteroid InjectionSiyi Zhang0Siyi Zhang1Yixiong Zhou2Yixiong Zhou3Fei Yu4Fei Yu5Dan Yan6Dan Yan7Yan Yan8Yan Yan9Meng Zhou10Meng Zhou11Yao Fu12Yao Fu13Yang Lu14Yang Lu15Department of Ophthalmology, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine, Shanghai, ChinaShanghai Key Laboratory of Orbital Diseases and Ocular Oncology, Shanghai, ChinaDepartment of Ophthalmology, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine, Shanghai, ChinaShanghai Key Laboratory of Orbital Diseases and Ocular Oncology, Shanghai, ChinaDepartment of Ophthalmology, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine, Shanghai, ChinaShanghai Key Laboratory of Orbital Diseases and Ocular Oncology, Shanghai, ChinaDepartment of Ophthalmology, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine, Shanghai, ChinaShanghai Key Laboratory of Orbital Diseases and Ocular Oncology, Shanghai, ChinaDepartment of Ophthalmology, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine, Shanghai, ChinaShanghai Key Laboratory of Orbital Diseases and Ocular Oncology, Shanghai, ChinaDepartment of Ophthalmology, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine, Shanghai, ChinaShanghai Key Laboratory of Orbital Diseases and Ocular Oncology, Shanghai, ChinaDepartment of Ophthalmology, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine, Shanghai, ChinaShanghai Key Laboratory of Orbital Diseases and Ocular Oncology, Shanghai, ChinaDepartment of Ophthalmology, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine, Shanghai, ChinaShanghai Key Laboratory of Orbital Diseases and Ocular Oncology, Shanghai, ChinaPurpose: The present study was designed to observe the curative effect of early intralesional corticosteroid injection to treat unsatisfactory double eyelid.Methods: This retrospective, observational study included 30 female patients (age 22–35 years) receiving intralesional corticosteroid injection after complaining about the unsatisfactory double eyelid post-transcutaneous upper eyelid blepharoplasty. The postoperative double eyelid anomalies included multiple folds, sunken eyelids, and severe postoperative eyelid edema. The evaluation of the clinical effect was based on the bilateral symmetry of the eyelid, the placement of the lid fold, the radian of the double eyelid, and the extent of the swelling and depression.Results: Multiple folds were observed in 11 (36.67%) patients, sunken eyelids in 9 (30.00%) patients, and severe postoperative eyelid edema in 10 (33.33%) patients. Among them, 17 (56.67%) patients received one intralesional injection and experienced significant improvement in the eyelid, while 8 (26.67%) accepted another injection at 1 month after the first injection and achieved marked improvement. The remaining 5 (16.67%) patients were dissatisfied with the results and might need further repair surgery: 2 patients had multiple folds, 2 showed postoperative edema, and 1 presented sunken eyelids. None of the patients reported any adverse reactions.Conclusion: Intralesional corticosteroid injection for the correction of the postoperative unsatisfactory double eyelid is safe and convenient, and provides a novel method for early intervention.https://www.frontiersin.org/articles/10.3389/fmed.2021.619547/fulldouble eyelidmanagementunsatisfactory outcomesintralesional injectioncorticosteroid injection
spellingShingle Siyi Zhang
Siyi Zhang
Yixiong Zhou
Yixiong Zhou
Fei Yu
Fei Yu
Dan Yan
Dan Yan
Yan Yan
Yan Yan
Meng Zhou
Meng Zhou
Yao Fu
Yao Fu
Yang Lu
Yang Lu
Management of Unsatisfactory Postoperative Double Eyelid With Intralesional Corticosteroid Injection
Frontiers in Medicine
double eyelid
management
unsatisfactory outcomes
intralesional injection
corticosteroid injection
title Management of Unsatisfactory Postoperative Double Eyelid With Intralesional Corticosteroid Injection
title_full Management of Unsatisfactory Postoperative Double Eyelid With Intralesional Corticosteroid Injection
title_fullStr Management of Unsatisfactory Postoperative Double Eyelid With Intralesional Corticosteroid Injection
title_full_unstemmed Management of Unsatisfactory Postoperative Double Eyelid With Intralesional Corticosteroid Injection
title_short Management of Unsatisfactory Postoperative Double Eyelid With Intralesional Corticosteroid Injection
title_sort management of unsatisfactory postoperative double eyelid with intralesional corticosteroid injection
topic double eyelid
management
unsatisfactory outcomes
intralesional injection
corticosteroid injection
url https://www.frontiersin.org/articles/10.3389/fmed.2021.619547/full
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