Tirakunwichcha Suppapong, Tinnangwattana Uraiwul, Hiranwiwatkul Parima, Rohitopakarn Santipong
Department of Ophthalmology, Faculty of Medicine, Chulalongkorn University, 1873 Rama IV Rd, Patumwan, Bangkok 10330, Thailand.
J Med Assoc Thai. 2006 Jan;89(1):90-3.
To propose a new surgical technique as an alternative method for the correction of segmental trichiasis and distichiasis.
An interventional case series reviewed the segmental trichiasis and distichiasis patients who were treated with folliculectomy in the Ophthalmology Department, King Chulalongkorn Memorial Hospital. The data was collected from January 1997 to December 2002. The history, clinical features and treatments were reviewed. Patients with the initial diagnosis of entropion were excluded.
Nine segmental trichiasis and distichiasis patients (13 eyes) were reviewed. Eight eyes underwent folliculectomy and one had folliculectomy with anterior lamellar recession. The follow-up time was 1-24 months. Nine of thirteen eyes (69.2%) were successfully treated with folliculectomy or folliculectomy with anterior lamellar recession. Four eyes needed second operations due to the recurrence of the eyelashes.
Folliculectomy revealed good results in trichiasis and distichiasis. It should be considered as an alternative technique because it is a simple and fast procedure.
提出一种新的手术技术，作为矫正节段性倒睫和双行睫的替代方法。
一项介入性病例系列研究回顾了朱拉隆功国王纪念医院眼科接受毛囊切除术治疗的节段性倒睫和双行睫患者。数据收集于1997年1月至2002年12月。回顾了患者的病史、临床特征和治疗情况。排除最初诊断为睑内翻的患者。
对9例节段性倒睫和双行睫患者（13只眼）进行了回顾。8只眼接受了毛囊切除术，1只眼接受了毛囊切除术联合前层睑板退缩术。随访时间为1至24个月。13只眼中有9只眼（69.2%）通过毛囊切除术或毛囊切除术联合前层睑板退缩术得到成功治疗。4只眼因睫毛复发需要二次手术。
毛囊切除术在倒睫和双行睫治疗中显示出良好效果。因其操作简单快捷，应被视为一种替代技术。
