Jordan D R, Anderson R L
Department of Ophthalmology, University of Utah School of Medicine, Salt Lake City.
Arch Ophthalmol. 1989 Apr;107(4):604-6. doi: 10.1001/archopht.1989.01070010618042.
The lateral tarsal strip procedure was originally designed for the treatment of upper and lower eyelid laxity, or lateral canthal tendon laxity or malposition. Despite the excellent results with a standard tarsal strip procedure for those eyelids with laxity and excess skin, we have encountered a number of patients with lower eyelid or canthal malpositions or both who would benefit from a tarsal strip, but who do not have lax tissues (especially skin), and may in fact have a shortage of skin. These include cases of lower lid retraction or canthal malposition following trauma, blepharoplasty, or other operations, and patients with tendency toward or having cicatricial ectropion. Any anterior lamella removal in such patients would aggravate the lid malposition and weaken the lateral canthal tissues to be sutured. We suggest a modification of the tarsal strip (developed by one of us [R.L.A.]) to treat many such patients without requiring additional anterior lamella (skin graft) or more formidable procedures. We refer to this technique as the "enhanced tarsal strip" technique, and we use this technique more frequently than the original tarsal strip procedure.
睑板条外侧固定术最初设计用于治疗上、下睑松弛，或外眦韧带松弛或错位。尽管标准睑板条手术对那些伴有松弛和皮肤过多的眼睑效果极佳，但我们遇到了一些下睑或眦部错位或两者皆有的患者，他们会从睑板条手术中获益，但没有组织松弛（尤其是皮肤），实际上可能还存在皮肤短缺的情况。这些情况包括外伤、眼睑成形术或其他手术后出现的下睑退缩或眦部错位，以及有瘢痕性睑外翻倾向或患有瘢痕性睑外翻的患者。在此类患者中，任何前层睑板切除都会加重睑位异常，并削弱待缝合的外眦组织。我们建议对睑板条进行改良（由我们其中一人[R.L.A.]研发），以治疗许多此类患者，而无需额外的前层睑板（植皮）或更复杂的手术。我们将此技术称为“改良睑板条”技术，并且我们使用该技术的频率高于原始睑板条手术。
