Steinkogler F J
Second University Eye Clinic Vienna, Austria.
Ophthalmic Plast Reconstr Surg. 1986;2(4):183-7.
The repair of severe upper eyelid entropion with trichiasis was reported early in ophthalmological literature; a historical review of the main operative techniques is provided. The aim of treatment is to bring the eyelashes away from the lid margin. Recent procedures use an upward transposition of the anterior lamella, which is performed by a lid split technique. The free anterior tarsal surface must be covered by a free, autologous skin graft or mucous-membrane graft to stabilize the free lid margin and to prevent the tarsal plate from shrinking. A fibrin-sealing method is used for the fixation of the graft on the tarsus, thus making sutures unnecessary. The anterior tarsal surface is covered by the fibrin-glued transplant, which prevents the posterior lamella from shrinking and does not allow the lashes to descend to the lid margin again. The results of using this new method on seven patients are presented.
眼科文献很早就报道了伴有倒睫的严重上睑内翻的修复；本文提供了主要手术技术的历史回顾。治疗的目的是使睫毛远离睑缘。最近的手术采用前层向上移位，通过睑裂技术进行。游离的前睑板表面必须用游离的自体皮肤移植片或粘膜移植片覆盖，以稳定游离的睑缘并防止睑板收缩。采用纤维蛋白封闭法将移植片固定在睑板上，从而无需缝合。纤维蛋白粘合移植片覆盖前睑板表面，可防止后层收缩，使睫毛不会再次降至睑缘。本文介绍了该新方法应用于7例患者的结果。
