瘢痕性睑内翻：经横向睑缘切开术和边缘旋转术治疗的分析

Cicatricial entropion: an analysis of its treatment with transverse blepharotomy and marginal rotation.

作者信息

Millman A L, Katzen L B, Putterman A M

机构信息

Department of Ophthalmology, New York Eye and Ear Infirmary, New York Medical College, New York Metropolitan Hospital 10003.

出版信息

Ophthalmic Surg. 1989 Aug;20(8):575-9.

PMID:2779968

Abstract

Transverse blepharotomy with marginal rotation is a simple and effective procedure to treat cicatricial entropion of diverse etiology in upper and lower eyelids. The surgeon can vary the site of incision and suture placement to control the amount of marginal rotation required. We treated 152 eyelids (98 patients) with this technique, obtaining an 85% overall success rate. Eleven recurrences were found in 7 of 18 lids with ocular pemphigoid; the success rate for this subgroup was 39% compared with 92% for all others. We recommend this procedure as a technically easy treatment for cicatricial entropion not caused by ocular pemphigoid.

摘要

带边缘旋转的横向睑缘切开术是一种简单有效的手术方法，用于治疗上下眼睑各种病因引起的瘢痕性睑内翻。外科医生可以改变切口部位和缝线位置，以控制所需的边缘旋转量。我们用这种技术治疗了152只眼睑（98例患者），总体成功率为85%。在18只患有眼类天疱疮的眼睑中，有7只出现了11次复发；该亚组的成功率为39%，而其他所有患者的成功率为92%。我们推荐这种手术作为一种技术上简单的治疗非眼类天疱疮引起的瘢痕性睑内翻的方法。