Department of Ophthalmology, Yenikent State Hospital, Sakarya, Turkey.
Ophthalmic Plast Reconstr Surg. 2021;37(5):457-461. doi: 10.1097/IOP.0000000000001914.
The aim of this study is to describe "2-paired mini-incisional entropion surgery" for involutional entropion.
This study was a retrospective single-surgeon case series. Patients who underwent different entropion surgeries were reviewed. Patients with involutional entropion were divided into 3 groups according to the type of surgery performed by a single surgeon: 2-paired mini-incisional entropion surgery; transconjunctival retractor reinsertion; or transcutaneous retractor reinsertion. Patients were followed up to 35 months after the surgery. Operation time, complications, and success were compared between groups.
Sixty-six lower eyelids of 60 patients were evaluated. The recurrence was 7.7% in the transcutaneous group, was 5.9% in the 2-paired mini-incisional entropion surgery group, and was 5.3% in the transconjunctival group. The total chance of success in 24-month period was 94.7% in the transconjunctival approach group, was 94.1% in the 2-paired mini-incisional entropion surgery group, and was 92.3% in the transcutaneous group.
The 2-paired mini-incisional entropion surgery can be used for entropion repair alone or in combination with horizontal tightening surgeries.
本研究旨在描述 2 对微创小切口下内翻矫正术治疗退行性内翻。
这是一项回顾性单医师病例系列研究。对接受不同内翻矫正术的患者进行了回顾。根据单医师手术类型，将退行性内翻患者分为 3 组：2 对微创小切口下内翻矫正术；经结膜下牵引器再植入术；或经皮牵引器再植入术。术后随访 35 个月。比较组间手术时间、并发症和成功率。
共评估了 60 例 66 只下眼睑。经皮组的复发率为 7.7%，2 对微创小切口下内翻矫正术组为 5.9%，经结膜组为 5.3%。24 个月时，经结膜入路组的总成功率为 94.7%，2 对微创小切口下内翻矫正术组为 94.1%，经皮组为 92.3%。
2 对微创小切口下内翻矫正术可单独用于内翻矫正，也可与水平收紧术联合使用。
