Steinkogler F J
2. Univ.-Augenklinik Wien.
Klin Monbl Augenheilkd. 1988 Jan;192(1):20-2. doi: 10.1055/s-2008-1050064.
At the end of the 19th century several surgical procedures for the treatment of upper eyelid entropion were described. At that time this type of entropion was much more common than it is today. The goal of treatment is to evert the lashes away from the lid margin. This can be accomplished by tightening the anterior lamella combined with a tarsal wedge resection, or by an upward transposition of the lid skin after splitting the upper lid apparatus. The resulting free anterior tarsal surface must be covered by a free graft to prevent tarsal shrinking. The latter would soon cause a recurrence. After upward transposition of the anterior lamella, the excised skin is very suitable for covering the free tarsal surface. A fibrin sealing method is used to fix the graft on the tarsus, thus making sutures unnecessary. Good results, primarily with regard to function, can be achieved with these methods.
19世纪末，人们描述了几种治疗上睑内翻的外科手术方法。当时，这种类型的内翻比现在更为常见。治疗的目的是使睫毛外翻远离睑缘。这可以通过收紧前层并结合睑板楔形切除术来实现，或者通过在上睑结构劈开后将眼睑皮肤向上移位来实现。由此产生的游离前睑板表面必须用游离移植物覆盖，以防止睑板收缩。否则很快就会导致复发。在前层向上移位后，切除的皮肤非常适合覆盖游离的睑板表面。采用纤维蛋白封闭法将移植物固定在睑板上，因此无需缝合。这些方法主要在功能方面能取得良好效果。
