Nicoli Fabio, Orfaniotis Georgios, Ciudad Pedro, Maruccia Michele, Lazzeri Davide, Costabile Lorenzo, Li Ke, Zhang Yi Xin, Cervelli Valerio, Balzani Alberto
Department of Plastic and Reconstructive Surgery, University of Rome "Tor Vergata", Tor Vergata, Rome, Italy.
Plastic Reconstructive and Aesthetic Surgery Unit, Villa Salaria Clinic, Rome, Italy.
Lasers Med Sci. 2019 Feb;34(1):79-84. doi: 10.1007/s10103-018-2601-y. Epub 2018 Jul 28.
Lower eyelid malposition is the most frequent and severe complication after blepharoplasty and ectropion is observed in 1% of patients after surgery. This article describes a non-surgical method to treat lower eyelid cicatricial ectropion using a non-ablative laser as an alternative to surgery. Twelve patients with unilateral or bilateral lower lid cicatricial ectropion, following surgery or trauma, underwent laser therapy from 2012 to 2016. Laser therapy was performed with a fractional non-ablative laser emitting at a wavelength of 1540 nm. Ten patients had a full correction of their ectropion and two patients had a partial recovery after laser therapy at 6-month follow-up visit. No serious adverse events were reported. Non-ablative fractional laser resurfacing can successfully treat cicatricial ectropion by remodeling the periocular scar tissue and improving the scar texture, and as such may be considered as a valuable alternative to surgery in selected patients.
下睑位置异常是睑成形术后最常见且严重的并发症，手术患者中有1%会出现睑外翻。本文介绍一种非手术方法，使用非剥脱性激光治疗下睑瘢痕性睑外翻，作为手术的替代方案。2012年至2016年，12例因手术或外伤导致单侧或双侧下睑瘢痕性睑外翻的患者接受了激光治疗。采用波长为1540 nm的非剥脱性分次激光进行治疗。在6个月的随访中，10例患者的睑外翻得到完全矫正，2例患者部分恢复。未报告严重不良事件。非剥脱性分次激光表面重塑可通过重塑眼周瘢痕组织和改善瘢痕质地成功治疗瘢痕性睑外翻，在特定患者中可被视为手术的一种有价值的替代方法。
