Purpose: 

To describe a novel surgical technique for implanting eyelid weights via a sutureless transconjunctival approach. In comparison to the traditional supratarsal crease approach, this technique does not involve any external incisions or suture placement. The procedure can reduce surgical time and complications associated with the traditional external approach.

Methods: 

 This case series includes 13 patients who underwent eyelid weight placement via the transconjunctival approach for paralytic lagophthalmos secondary to facial nerve paralysis (12 patients had unilateral paralysis and 1 patient had bilateral) with a total of 14 eyelid weights placed. The procedures were performed at an outpatient office-based surgical center. All procedures were performed or supervised by the same surgeon. Patients were followed for an average 6-month postoperative period for postoperative complications.

Results: 

The sutureless transconjunctival approach to eyelid weight insertion was successful in achieving the desired functional and aesthetic outcomes. Patients undergoing this technique avoided the discomfort of postoperative suture removal. All patients achieved comparable outcomes postoperatively. There were no complications reported across the 13 patients throughout the 6-month postoperative period.

Conclusions: 

This case series demonstrates that the transconjunctival approach for metal eyelid weight insertion is practical, relatively easy to perform, and associated with functional outcomes that are comparable to those achieved with the traditional approach, however, without external incision or placement of sutures.

中文翻译：

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无缝线经结膜插入眼睑重物：一种新技术

目的： 

描述一种通过无缝线经结膜方法植入眼睑重量的新颖手术技术。与传统的睑板上折痕方法相比，该技术不涉及任何外部切口或缝线放置。该手术可以减少与传统外部方法相关的手术时间和并发症。

方法： 

 该病例系列包括 13 例因面神经麻痹继发的麻痹性眼睑麻痹而通过经结膜入路接受眼睑重物放置的患者（12 名患者为单侧麻痹，1 名患者为双侧麻痹），总共放置了 14 个眼睑重物。手术是在门诊外科中心进行的。所有手术均由同一位外科医生执行或监督。术后对患者进行平均 6 个月的术后并发症随访。

结果： 

无缝线经结膜植入眼睑重量的方法成功地实现了所需的功能和美学效果。接受这种技术的患者避免了术后拆线的不适。所有患者术后均取得了可比的结果。13 名患者在术后 6 个月期间没有出现并发症。

结论： 

该病例系列表明，用于金属眼睑重量插入的经结膜方法是实用的，相对容易执行，并且其功能结果与传统方法所实现的结果相当，但无需外部切口或缝合线。