Reifler D M, Leder D R
Department of Ophthalmology, Michigan State University College of Human Medicine (GRAMEC), Grand Rapids.
Ophthalmic Plast Reconstr Surg. 1989;5(1):63-7. doi: 10.1097/00002341-198903000-00012.
Chronic chalazia that predominantly involve the anterior eyelid lamellae are most easily approached through a transcutaneous incision. We describe the use of an eyelid crease incision for chalazia of the upper lid as an alternative to incision directly over the lesion. The technique has been used successfully in 16 patients with anteriorly situated upper eyelid chalazia. The advantages of this technique include excellent exposure with minimal patient discomfort. There is no need for eyelid eversion or compression with a chalazion clamp. The inflamed tissue can be directly inspected and the controlled excision will yield a superior specimen if biopsy is contemplated.
主要累及睑前层的慢性睑板腺囊肿最适合通过经皮切口进行处理。我们描述了使用眼睑皱襞切口治疗上睑睑板腺囊肿,作为直接在病变上方切口的一种替代方法。该技术已成功应用于16例位于上睑前部的睑板腺囊肿患者。该技术的优点包括暴露良好且患者不适感最小。无需翻转眼睑或用睑板腺囊肿夹压迫。如果考虑活检,可直接检查炎症组织,且可控切除将获得更好的标本。