Bartley G B, Nerad J A, Kersten R C, Maguire L J
Department of Ophthalmology, Mayo Clinic, Rochester, Minnesota 55905.
Am J Ophthalmol. 1991 Oct 15;112(4):437-41. doi: 10.1016/s0002-9394(14)76254-3.
Congenital lower eyelid entropion is generally considered to result from improper development of the retractor aponeurosis insertion to the inferior portion of the tarsal plate. We treated three patients with this uncommon disorder. At operation, aponeurotic defects were anticipated and specifically sought, but in each case the lower eyelid retractors were inserted normally. In two patients, entropion was relieved by surgical disinsertion and then advancement of the retractors. In the third patient, who also had multiple concomitant facial and systemic developmental anomalies, improvement in the lower eyelid malpositions required a combination of procedures. The intraoperative findings in our patients demonstrate that disinsertion of the lower eyelid retractors is not a universal etiologic mechanism in congenital entropion.
先天性下睑内翻通常被认为是由于睑板下缩肌腱膜插入睑板下部发育异常所致。我们治疗了3例患有这种罕见疾病的患者。手术时，预计并专门寻找腱膜缺损，但在每例患者中，下睑缩肌均正常插入。2例患者通过手术离断并推进缩肌后内翻得到缓解。第3例患者还伴有多种面部和全身发育异常，改善下睑错位需要联合多种手术。我们患者的术中发现表明，下睑缩肌离断并非先天性内翻的普遍病因机制。
