Erdoğan Mustafa, Karadeniz Uğurlu Şeyda
Gaziemir Nevvar Salih İşgören Government Hospital, Clinic of Ophthalmology, İzmir, Turkey.
Katip Çelebi University Faculty of Medicine, Department of Ophthalmology, İzmir, Turkey.
Turk J Ophthalmol. 2015 Oct;45(5):203-207. doi: 10.4274/tjo.20591. Epub 2015 Oct 5.
To evaluate the clinical findings and outcomes of surgical treatment in patients with marginal entropion.
Patients with impairment of the natural square-shaped eyelid margin morphology, anterior migration of mucocutaneous junction and mild lid inversion toward the ocular surface were diagnosed as having marginal entropion. Patients with shortened fornices, cicatricial changes or subconjunctival fibrosis were excluded. Demographic characteristics, ophthalmologic examination findings, surgical procedures and follow-up data were evaluated retrospectively.
Twelve eyes of 11 patients were included in the study. Median age was 73 years (range, 49-84 years). All cases presented with signs of meibomianitis and were treated preoperatively with oral doxycycline and topical corticosteroids. Tarsal fracture procedure was performed for correction of lid malposition. In all patients, lid malposition was corrected and ocular irritation findings had regressed. No recurrences were observed in the follow-up period of mean 10 months (range, 5-16 months).
Marginal entropion is a common malposition that is frequently misdiagnosed as trichiasis and is overlooked. Complications secondary to misdiagnosis can be avoided and a normal lid position achieved when the correct diagnosis is made.
评估边缘性睑内翻患者的临床特征及手术治疗效果。
自然方形睑缘形态受损、黏膜皮肤交界处前移且睑缘轻度向眼表反转的患者被诊断为边缘性睑内翻。排除穹窿缩短、瘢痕形成或结膜下纤维化的患者。回顾性评估患者的人口统计学特征、眼科检查结果、手术方式及随访数据。
11例患者的12只眼纳入研究。中位年龄73岁（范围49 - 84岁）。所有病例均有睑板腺炎体征，术前均接受口服强力霉素及局部糖皮质激素治疗。采用睑板骨折术矫正睑位置异常。所有患者睑位置异常均得到矫正，眼部刺激症状消退。平均随访10个月（范围5 - 16个月），未见复发。
边缘性睑内翻是一种常见的睑位置异常，常被误诊为倒睫而被忽视。正确诊断可避免误诊继发的并发症，并使睑位置恢复正常。
