Department of Ophthalmological Plastic Surgery, Affiliated Eye Hospital, Wenzhou Medical University, Wenzhou, China.
Department of Ophthalmological Plastic Surgery, Affiliated Eye Hospital, Wenzhou Medical University, Wenzhou, China.
Can J Ophthalmol. 2019 Feb;54(1):102-105. doi: 10.1016/j.jcjo.2018.02.010. Epub 2018 Apr 24.
To investigate the outcomes for correction of involutional lower eyelid entropion by wedge resection of the tarsus combined with the modified Hotz procedure.
Retrospective study.
Patients with lower eyelid involutional entropion that was surgically repaired by wedge resection of the tarsal plate combined with the modified Hotz procedure.
In a consecutive series of 43 patients with involutional lower eyelid entropion, wedge resection combined with the modified Hotz procedure was performed with an average follow-up period of 29.6 months (range, 6-62 months).
Among the patients, 93% had an excellent outcome within the follow-up period. For one patient, the outcome of both eyes was poor. For another patient, incision dehiscence of the eyelid margin in one eye occurred after the stitches were removed. The incision was sutured again, and it healed well. One patient complained of foreign body sensation in one eye after removal of the skin stitches. The complaint was resolved after wearing a corneal contact lens. No other significant complications occurred.
In our clinic, tarsal plate wedge resection combined with the modified Hotz procedure has been highly effective for correction of involutional lower eyelid entropion. Although this approach does not directly address lateral canthal tendon laxity, it does preserve the eyelid in case there is a future need for reconstruction due to ocular surface disease or trauma. Thus, wedge resection of the tarsal plate combined with modified Hotz procedure is a safe and effective method for involutional lower eyelid entropion.
探讨通过睑板楔形切除术联合改良 Hotz 术治疗退行性下睑内翻的疗效。
回顾性研究。
接受睑板楔形切除术联合改良 Hotz 术治疗退行性下睑内翻的患者。
对 43 例退行性下睑内翻患者连续进行了睑板楔形切除术联合改良 Hotz 术治疗，平均随访 29.6 个月（6-62 个月）。
在随访期间，93%的患者疗效满意。其中 1 例双眼疗效不佳，1 例 1 只眼术后拆线时出现眼睑边缘切口裂开，再次缝合后愈合良好，1 例患者 1 只眼在去除皮肤缝线后出现异物感，佩戴角膜接触镜后缓解，无其他严重并发症。
在本中心，睑板楔形切除术联合改良 Hotz 术治疗退行性下睑内翻效果确切。虽然该术式不能直接解决外眦腱松弛问题，但为将来因眼表疾病或外伤需要重建时保留了眼睑，因此，睑板楔形切除术联合改良 Hotz 术是治疗退行性下睑内翻的一种安全有效的方法。
