Meadows Alison E.R., Reck Anne C., Gaston Hannah, Tyers Anthony G.
Southampton Eye Unit, Southampton General Hospital, Southampton, United Kingdom
Orbit. 1999 Sep;18(3):177-181. doi: 10.1076/orbi.18.3.177.2706.
Involutional entropion is the commonest cause of entropion in the elderly population. Many surgical procedures have been described to correct it. The everting suture technique is simple and quick and can be undertaken in the clinic or even away from a medical setting. However, it has been regarded as a temporary cure, especially in the presence of horizontal lower lid laxity. We reviewed the results of everting sutures in 55 lids of 50 patients. The minimum follow-up was 18 months. 78% of patients had no recurrence of their entropion. Our results suggest that horizontal eyelid laxity may not be the only major factor in recurrent entropion following everting sutures. Dermatochalasis with orbital fat prolapse may also contribute.
退行性睑内翻是老年人群中睑内翻最常见的病因。已有多种外科手术方法用于矫正该病症。外翻缝合法操作简单快捷，可在诊所甚至非医疗环境下进行。然而，它一直被视为一种临时治疗方法，尤其是在存在水平性下睑松弛的情况下。我们回顾了50例患者55只眼睑的外翻缝合结果。最短随访时间为18个月。78%的患者睑内翻未复发。我们的结果表明，水平性眼睑松弛可能不是外翻缝合后睑内翻复发的唯一主要因素。伴有眶脂肪脱垂的皮肤松弛症也可能起作用。
