From the Department of Ophthalmology, Daping Hospital, Army Medical University, Chongqing, China.
Ann Plast Surg. 2021 Jul 1;87(1):12-15. doi: 10.1097/SAP.0000000000002908.
A majority of patients with senile entropion have a lower eyelid pouch. This study aimed to explore a modified method to correct the entropion and enhance ophthalmic cosmetology.
Patients with senile entropion and lower eyelid pouches, who underwent anterior fascia of tarsus tightening combined with lower eyelid pouch plastic surgery from 2018 to 2019, were enrolled in the study. The data on operation time, postoperative effect, degree of eyelid swelling after surgery, patient satisfaction, and recurrence rate were recorded.
The lower eyelid entropion was well corrected in all of the 46 patients after the surgery, and the lower eyelid pouch and saggy skin were satisfactorily repaired. After 1-year follow-up, no recurrence of lower eyelid eversion and ectropion was observed. The shape of the orbital areas was natural in all the patients, the incision scar was hidden, and the patient achieved a high degree of satisfaction.
In patients with senile entropion and lower eyelid pouch, anterior tarsal fascia tightening combined with lower eyelid blepharoplasty could not only increase the cure rate and reduce the recurrence rate but also achieve good appearance and improve patient satisfaction.
大多数老年内翻倒睫患者存在下眼睑袋。本研究旨在探索一种改良方法以矫正内翻倒睫，并增强眼整形美容效果。
本研究纳入了 2018 年至 2019 年间接受前睑板紧缩术联合下睑袋整形术的老年内翻倒睫伴下睑袋患者。记录手术时间、术后效果、术后眼睑肿胀程度、患者满意度和复发率等数据。
所有 46 例患者术后下眼睑内翻均得到良好矫正，下睑袋和松弛皮肤得到满意修复。随访 1 年，未见下眼睑外翻和倒睫复发。所有患者眶周区域形态自然，切口瘢痕隐蔽，患者满意度高。
对于老年内翻倒睫伴下睑袋患者，前睑板紧缩术联合下睑成形术不仅可以提高治愈率、降低复发率，还可以获得良好的外观效果，提高患者满意度。
