Marabotti A, Bedei A, Lanza G, Cariello A, Giannecchini I
Ophthalmic Division, H.M.O. Barbantini, Lucca, Italy.
Ophthalmologica. 2001 May-Jun;215(3):169-73. doi: 10.1159/000050852.
A study to evaluate the effectiveness of a modified procedure to correct involutional entropion.
Seventeen cases of involutional entropion underwent surgery and had a postoperative follow-up of 18 months. The authors describe a technique of vertically shortening the anterior lamella (skin and orbicularis muscle), using a blepharoplasty incision and reflection of a skin muscle flap.
In 16 of 17 eyelids affected by involutional entropion, this operative procedure showed good functional outcome (good correction of the relation between lower eyelid edge and eyeball) and aesthetic outcome (no hypertrophic scar, dyschromia or unnatural folding of the skin).
A correct approach to entropion surgery needs an accurate preoperative evaluation of the individual physiopathogenic factors. This procedure gives lasting functional and pleasing cosmetic results when preseptal orbicularis muscle override has been identified as the cause of senile entropion.
一项评估改良手术方法矫正退行性睑内翻有效性的研究。
17例退行性睑内翻患者接受手术，并进行了18个月的术后随访。作者描述了一种使用睑成形术切口和皮肤肌肉瓣翻转来垂直缩短前层（皮肤和眼轮匝肌）的技术。
在17只受退行性睑内翻影响的眼睑中，有16只通过该手术显示出良好的功能结果（下睑缘与眼球关系得到良好矫正）和美学效果（无肥厚性瘢痕、色素沉着或皮肤不自然褶皱）。
睑内翻手术的正确方法需要对个体生理致病因素进行准确的术前评估。当确定眶隔前眼轮匝肌覆盖是老年性睑内翻的原因时，该手术可带来持久的功能和令人满意的美容效果。
