Royal Shrewsbury Hospital, Shrewsbury, United Kingdom.
Royal Shrewsbury Hospital, Shrewsbury, United Kingdom..
Can J Ophthalmol. 2019 Feb;54(1):98-101. doi: 10.1016/j.jcjo.2018.02.005. Epub 2018 Apr 30.
To describe a modification of trans-conjunctival, lower eyelid retractor advancement to correct tarsal ectropion.
A retrospective case review.
Consecutive patients with lower eyelid tarsal ectropion.
Cases of lower eyelid tarsal ectropion, surgically corrected by advancement of inferior retractor to the lower border of tarsus via a transconjunctival approach, were identified. Lateral tarsal strip was also performed simultaneously in all cases.
Twenty patients (25 eyelids) were included in this study. There were 19 primary lower eyelid tarsal ectropion and 6 recurrent tarsal ectropion. Complete resolution of tarsal ectropion was achieved in all patients postoperatively. Mean follow-up was 8.4 months (range 1-36 months). There were no cases of overcorrection, recurrent ectropion, suture abscess, wound dehiscence, or inferior fornix shortening after surgery.
Visualization of the lower eyelid retractor (white-line) and advancement to the inferior border of tarsus through a transconjunctival approach is effective in correcting both primary and recurrent cases of tarsal ectropion. This can be performed through a small conjunctival incision in the middle third of the lower eyelid, without the need for any excision of tissue or suture loop tie on the skin surface.
描述经结膜下，下眼睑牵引器推进术的改良，以矫正睑板外翻。
回顾性病例研究。
连续患有下眼睑睑板外翻的患者。
确定通过经结膜途径将下眼睑牵引器推进至睑板下缘来矫正下眼睑睑板外翻的下眼睑睑板外翻病例。所有病例均同时行外侧睑板条。
本研究共纳入 20 例（25 只眼）患者。其中原发性下睑睑板外翻 19 例，复发性睑板外翻 6 例。所有患者术后均完全矫正睑板外翻。平均随访 8.4 个月（1-36 个月）。术后无过度矫正、复发性外翻、缝线脓肿、伤口裂开或下穹隆缩短。
通过经结膜途径观察下眼睑牵引器（白线）并将其推进至睑板下缘，对上睑和下睑的原发性和复发性睑板外翻均有效。这种方法可以通过在下眼睑的中三分之一处进行一个小的结膜切口来完成，而不需要在皮肤表面切除任何组织或缝合环。
