University Hospital Wales, Heath Park, Cardiff, Wales, UK.
Ophthalmic Plast Reconstr Surg. 2012 Jan-Feb;28(1):44-6. doi: 10.1097/IOP.0b013e3182364a8e.
To describe a simple technique for involutional entropion correction and to present the findings of a pilot study.
Consecutive case series of 42 procedures. Patients presenting with involutional entropion in the absence of lateral canthal tendon laxity (lateral canthus could be distracted 1 cm or more medially) underwent a modified full-thickness eyelid shortening combined with retractor plication. Main outcome measures were correction of entropion and cosmesis of the surgical site at final follow up.
At final follow up, 92% of patients had a satisfactory eyelid position with no recurrence of entropion and a cosmetically satisfactory scar.
This is a useful technique with a higher success rate than everting sutures and is particularly suitable for patients for whom rapid surgery is needed or a lateral canthotomy is best avoided.
描述一种简单的退行性睑内翻矫正技术,并介绍一项初步研究的结果。
连续病例系列研究共 42 例患者。患有退行性睑内翻且无外眦腱松弛(外侧眼角可向内侧移位 1 厘米或更多)的患者接受改良的全层眼睑缩短术联合牵引折叠术。主要观察指标为最终随访时睑内翻的矫正情况和手术部位的美容效果。
最终随访时,92%的患者眼睑位置满意,无睑内翻复发,手术疤痕美观。
这是一种有用的技术,成功率高于外翻缝线,特别适用于需要快速手术或最好避免外眦切开术的患者。