Olali C, Burton V, Samalila E
Royle Eye Department, Pilgrim Hospital, Boston, England.
West Afr J Med. 2010 Mar-Apr;29(2):117-9. doi: 10.4314/wajm.v29i2.68206.
Involutional entropion, a common eyelid condition, has different methods of surgical correction and attendant variable recurrence rates, depending to a large degree on the method used.
To describe and evaluate a modified technique of entropion repair where the Wheeler's method is combined with wedge resection of the tarsal plate.
This was a chart review study of 49 patients who had the modified technique carried out to correct their involutional entropion. The technique essentially involves dissecting and separating the lower lid pre-tarsal orbicularis muscle from the tarsal plate, resecting a down-base triangular wedge of the tarsus followed by shortening the orbicularis and anchoring it to the tarsal plate superiorly.
Over the three and a half-year review period, 54 eyelids of 49 patients underwent the procedure to correct their lower eyelid entropion. Of these, 28(57%) were females and 21(43%) males with a mean age of 73.5 years. The mean follow up period was 30.3 months. One (1.9%) recurrence was recorded in all the cases during the follow-up period. Complications were minimal.
The combined Wheeler and wedge resection of the tarsal plate produces very good post-operative results and can be used in primary involutional entropion or as the procedure of choice if an initial different surgical technique used fails.
退行性睑内翻是一种常见的眼睑疾病，其手术矫正方法各异，复发率也因所采用的方法在很大程度上有所不同。
描述并评估一种改良的睑内翻修复技术，即将惠勒法与睑板楔形切除术相结合。
这是一项对49例行改良技术矫正退行性睑内翻患者的病历回顾研究。该技术主要包括将下睑睑板前眼轮匝肌从睑板上分离并解剖，切除睑板的一个向下基底的三角形楔形组织，然后缩短眼轮匝肌并将其向上固定于睑板。
在三年半的回顾期内，49例患者的54只眼睑接受了矫正下睑睑内翻的手术。其中，女性28例（57%），男性21例（43%），平均年龄73.5岁。平均随访期为30.3个月。随访期间所有病例记录到1例（1.9%）复发。并发症极少。
惠勒法与睑板楔形切除术相结合产生了非常好的术后效果，可用于原发性退行性睑内翻，或在最初使用的不同手术技术失败时作为首选手术。
