Galindo-Ferreiro Alicia, Alkatan Hind, Maktabi Azza, Gálvez-Ruiz Alberto, Schellini Silvana
a Oculoplastic Division , King Khaled Eye Specialist Hospital , Riyadh , Saudi Arabia.
b Department of Ophthalmology , Complejo Asistencial de Palencia , Palencia , Spain.
Orbit. 2018 Apr;37(2):87-90. doi: 10.1080/01676830.2017.1383454. Epub 2017 Oct 23.
To describe a new technique to treat congenital distichiasis.
Case series of three distichiatic patients undergoing a novel surgical technique combining splitting of the lid margin with the distichiatic lashes, marginal tarsectomy in the affected area, and tarsoconjunctival graft obtained from the upper region of the tarsus. The graft was sutured at the exposed region of the marginal tarsectomy.
Good cosmesis was obtained in all cases and the lids margins healed completely with good surgical outcome and no lashes contacted the cornea postoperatively.
The split lamellae with a composite tarsoconjunctival graft results in satisfactory functional and cosmetic outcomes. The upper tarsal region represents an ideal donor site.
描述一种治疗先天性双行睫的新技术。
对3例双行睫患者进行病例系列研究，采用一种新型手术技术，该技术包括将睑缘与双行睫分离、在患区进行睑缘切除术以及取自睑板上部区域的睑板结膜移植。将移植片缝合于睑缘切除术的暴露区域。
所有病例均获得良好的美容效果，睑缘完全愈合，手术效果良好，术后无睫毛接触角膜。
采用复合睑板结膜移植的分层技术可获得满意的功能和美容效果。睑板上部区域是理想的供区。
