CORRECTION OF PALPEBRAL FISSURE PARAMETERS IN PATIENTS WITH ACQUIRED PATHOLOGY
One of actual problems of modern plastic ophthalmosurgery is the correction of the form and parameters of the palpebral fissure. Anatomic facial indicators of a healthy person and, in particular, the geometric dimensions of the palpebral fissure, acquired great importance due to the increasing tendency to change some features of the face. In this work we studied variant anatomy of palpebral fissure in middle age patients with emmetropia, conducted anatomical and variational substantiation of the partial measured canthotomy. The obtained data were treated using the program STATISTICA 10.0 Surgical repair of palpebral fissure was performed according to the method of partial constant measured canthotomy with local plasty (patent №2003310, V.N.Kanyukov, 1991), which preserved the conjunctiva intact, preventing the formation of rough scarring in the canthus area in the postoperative period. We developed and applied in clinical practice a set of tools for canthotomy (patent №121153 “A tool for measured canthotomy” V.N.Kanyukov, 20.10.2012; patent №110267 “Cannula holder for canthoplasty” V.N.Kanyukov, 27.11.2011) The developed surgery technology for increasing the length of palpebral fissure is the best method, in which it is possible to conduct an adequate audit of the surgical field, the necessary individual correction of palpebral fissure parameters for each patient.