Lid, Lacrimal and Orbit Service, University Hospitals of Leicester, Leicester, United Kingdom.
Ophthalmic Plast Reconstr Surg. 2013 Sep-Oct;29(5):400-2. doi: 10.1097/IOP.0b013e3182a22ad1.
To describe a simple technique to correct tarsal lower eyelid ectropion with or without marked eyelid laxity (The Leicester Modified Suture technique).
A retrospective interventional case series of patients undergoing correction of tarsal ectropion with inverting sutures. The study adhered to the principles of the Declaration of Helsinki.
Twenty patients (25 eyelids) met the inclusion criteria. The success of the procedure was assessed by improvement of symptoms, eyelid position, and the need for reoperation. The mean postoperative follow up was 3.6 months (range 2-15 months). Eighteen patients (90%) had a successful outcome, while in 2 patients (10%) the outcome was satisfactory, as there was mild residual eversion of the eyelids. None of the patients required reoperation.
Tarsal lower eyelid ectropion can be surgically challenging to correct via the transconjunctival plication or subciliary reattachment of retractors. This method is simple to use, resulting in an excellent outcome with no tissue dissection. This technique is easy to learn and implement for oculoplastic surgeons at all levels of experience.
描述一种简单的技术，用于矫正伴有或不伴有明显眼睑松弛的下睑睑内翻（莱斯特改良缝线技术）。
对接受反转缝线矫正睑内翻的患者进行回顾性介入病例系列研究。本研究遵循赫尔辛基宣言的原则。
20 名患者（25 只眼）符合纳入标准。通过症状改善、眼睑位置和再次手术的需要来评估手术的成功率。平均术后随访 3.6 个月（范围 2-15 个月）。18 名患者（90%）的结果是成功的，而在 2 名患者（10%）中，结果是令人满意的，因为眼睑仍有轻度外翻。没有患者需要再次手术。
通过经结膜缝线折叠或下睑缩肌再附着矫正下睑睑内翻可能具有挑战性。这种方法使用简单，组织无解剖，效果极佳。这种技术易于学习和实施，适用于各级经验的眼整形医生。
