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对疑似倒睫患者的形态学观察。

Morphological observations on patients with presumed trichiasis.

作者信息

Barber K, Dabbs T

机构信息

Department of Ophthalmology, Royal Hallamshire Hospital, Sheffield.

出版信息

Br J Ophthalmol. 1988 Jan;72(1):17-22. doi: 10.1136/bjo.72.1.17.

DOI:10.1136/bjo.72.1.17
PMID:3342215
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1041359/
Abstract

The clinical findings in 116 patients with a provisional diagnosis of trichiasis are presented. In 69% a small degree of entropion producing lash-globe contact was detected. The term lid border entropion is proposed for this condition, which is recognised clinically by conjunctivalisation of the meibomian gland orifices and anterior placement of the mucocutaneous junction. These features were clearly demonstrated by electron microscopy of a biopsy specimen from one patient. An analysis of other causes of trichiasis is discussed and an attempt is made to clarify the terminology currently in use.

摘要

本文报告了116例初步诊断为倒睫患者的临床检查结果。其中69%的患者存在轻度睑内翻,导致睫毛与眼球接触。针对这种情况,提出了“睑缘内翻”这一术语,临床上可通过睑板腺开口结膜化和黏膜皮肤交界处前移来识别。对一名患者活检标本的电子显微镜检查清楚地显示了这些特征。本文还讨论了倒睫的其他病因分析,并试图厘清目前使用的术语。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1f2/1041359/92f441d556ca/brjopthal00605-0023-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1f2/1041359/e710032722d0/brjopthal00605-0020-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1f2/1041359/126932d26496/brjopthal00605-0020-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1f2/1041359/2cd945199387/brjopthal00605-0021-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1f2/1041359/01c4e46ad13b/brjopthal00605-0022-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1f2/1041359/92f441d556ca/brjopthal00605-0023-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1f2/1041359/e710032722d0/brjopthal00605-0020-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1f2/1041359/126932d26496/brjopthal00605-0020-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1f2/1041359/2cd945199387/brjopthal00605-0021-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1f2/1041359/01c4e46ad13b/brjopthal00605-0022-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1f2/1041359/92f441d556ca/brjopthal00605-0023-a.jpg

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本文引用的文献

1
Congenital ectropion and distichiasis; etiologic and hereditary factors: a report of cases and review of the literature.先天性睑外翻与双行睫;病因及遗传因素:病例报告与文献综述
Am J Ophthalmol. 1959 Mar;47(3):363-87.
2
Lid splitting and posterior lamella cryosurgery for congenital and acquired distichiasis.睑裂劈开及后层冷冻手术治疗先天性和后天性双行睫
Arch Ophthalmol. 1981 Apr;99(4):631-4. doi: 10.1001/archopht.1981.03930010631008.
3
Complications of cryosurgery.冷冻手术的并发症
沙眼性倒睫及其在流行国家的管理。
Surv Ophthalmol. 2012 Mar-Apr;57(2):105-35. doi: 10.1016/j.survophthal.2011.08.002. Epub 2012 Jan 27.
Arch Ophthalmol. 1981 Mar;99(3):460-3. doi: 10.1001/archopht.1981.03930010462014.
4
Distichiasis and trichiasis: origin and management.双行睫和倒睫:病因及治疗
Am J Ophthalmol. 1966 Apr;61(4):718-20. doi: 10.1016/0002-9394(66)91209-8.
5
The histopathology of involutional ectropion.萎缩性外翻的组织病理学
Ophthalmology. 1985 Jan;92(1):120-7. doi: 10.1016/s0161-6420(85)34061-7.
6
Neglected lid deformities causing progressive corneal disease. Surgical correction of entropion, trichiasis, marginal keratinization, and functional lid shortening.被忽视的眼睑畸形导致进行性角膜疾病。睑内翻、倒睫、边缘角化和功能性睑缩短的手术矫正。
Trans Ophthalmol Soc U K (1962). 1976 Apr;96(1):45-51.