Joint Shantou International Eye Centre of Shantou University and The Chinese University of Hong Kong, North Dongxia Road, Shantou, 515041, Guangdong, China.
Shantou University Medical College, Shantou, 515041, Guangdong, China.
BMC Ophthalmol. 2021 Dec 15;21(1):435. doi: 10.1186/s12886-021-02214-9.
To evaluate a modified technique for involutional entropion correction in a retrospective cohort study.
The patients with involutional entropion eyelid were corrected by tightening the pretarsal orbicularis oculi muscle and excising the excess skin of the lower eyelid. The patients received correction surgery from April 2013 to March 2019 were followed up for more than 6 months postoperatively. The outcome measures included the complications and the recurrence rates.
Total 152 patients (169 eyes) were included. The mean follow-up period was 29.6 months (range: 6-36 months). Postoperative ectropion (over-correction) was observed in 1 patient with 1 eyelid (0.59%); yet, no further surgery was needed for this patient. Recurrence of entropion was found in 1 patient (0.59%). The patient with recurrent entropion received repeated surgery with the same method and achieved a good eyelid position.
This study demonstrated that tightening the pretarsal orbicularis oculi muscle and excising the excess skin of the lower eyelid could be an effective surgical method to correct lower eyelid involutional entropion. This method is technically easy with a low recurrence rate and not associated with significant complications in Asians.
在一项回顾性队列研究中，评估一种改良的退行性睑内翻矫正技术。
通过收紧睑板前眼轮匝肌和切除下眼睑多余的皮肤来矫正退行性睑内翻的患者。对 2013 年 4 月至 2019 年 3 月期间接受矫正手术的患者进行随访，随访时间超过 6 个月。观察指标包括并发症和复发率。
共纳入 152 例（169 只眼）患者。平均随访时间为 29.6 个月（范围：6-36 个月）。术后 1 例（0.59%）出现 1 只眼睑外眦（过矫），但无需进一步手术。1 例（0.59%）出现内翻复发。复发的患者接受了相同方法的再次手术，获得了良好的眼睑位置。
本研究表明，收紧睑板前眼轮匝肌和切除下眼睑多余的皮肤可能是矫正下眼睑退行性睑内翻的有效手术方法。这种方法在技术上很简单，复发率低，在亚洲人中与显著并发症无关。
