Department of Ophthalmology and Visual Science, College of Medicine, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea.
Acta Ophthalmol. 2012 May;90(3):e211-3. doi: 10.1111/j.1755-3768.2011.02266.x. Epub 2011 Oct 19.
This article introduces 3-mm-deep eyelash trephination combined with electrocautery as a way to increase the success rate for treatment for trichiasis.
We have modified surgical instruments, ready-made ophthalmic microtrephine and cautery tip for a 3-mm-deep eyelash trephination and electrocautery. After eyelash trephination with microtrephine, electrocautery was added with a bended cautery tip after embedding in the trephination site. The trephined eyelids were photographed biweekly and checked for recurrence until 8 weeks after operation.
Eyelash trephination combined with electrocautery was carried out on 20 Korean patients. The number of removed cilia was 109. Of these, the number of successfully removed hair follicles was 89. During 8 weeks, the total recurring rate of eyelash trephination combined with electrocautery was 17%. In the case of hair follicle removal success with electrocautery, the recurring rate was as low as 11%, but in the case of hair follicle removal failure with electrocautery, recurring rate is 45%. We checked the depth of removed eyelash follicles, and the mean depth was 2.03 ± 0.085 mm in this study. No serious complication was found during the period of this study.
The eyelash trephination combined with electrocautery for trichiasis is a method with a low recurrence rate and few complications.
本文介绍了一种 3mm 深的睫毛钻孔联合电灼术，以提高治疗倒睫的成功率。
我们对手术器械、现成的眼科微钻和电灼尖端进行了改良，用于 3mm 深的睫毛钻孔和电灼。微钻钻孔后，将电灼尖端弯曲后嵌入钻孔部位进行电灼。每隔两周对钻孔后的眼睑进行拍照，并检查复发情况，直到术后 8 周。
对 20 名韩国患者进行了睫毛钻孔联合电灼术，共去除睫毛 109 根。其中，成功去除毛囊 89 根。在 8 周内，睫毛钻孔联合电灼术的总复发率为 17%。在电灼成功去除毛囊的情况下，复发率低至 11%，但电灼去除毛囊失败的情况下，复发率为 45%。我们检查了去除的睫毛毛囊的深度，本研究中平均深度为 2.03±0.085mm。在研究期间未发现严重并发症。
对于倒睫，睫毛钻孔联合电灼术是一种复发率低、并发症少的方法。
