Mora Amparo M, Córdoba Carlos M, Padilla Fabio D, Duran Diego F
Ophtalmology, Oculoplastic Subspecialist, Department of Ophthalmology, Faculty of Medicine, 28021Universidad Nacional de Colombia.
Ophthalmology Resident, Department of Ophthalmology, Faculty of Medicine, 28021Universidad Nacional de Colombia.
Eur J Ophthalmol. 2022 May;32(3):1824-1827. doi: 10.1177/11206721211073036. Epub 2022 Jan 7.
to present a surgical technique for treating patients with recurrent ectropion and severe lower eyelid laxity.
Lateral tarsal strip and canthal fixation by osteotomy was performed in 6 patients with recurrent ectropion and 1 patient with extreme lower eyelid laxity secondary to an anophthalmic socket. Preoperative and postoperative photographs were evaluated in order to assess the outcomes of the procedure. Patients were followed up 4 weeks, 6 months, 12 months and 24 months of the postoperative period. The initial symptoms of the patients were eye redness, epiphora, foreign body sensation, aesthetic complaints, and facial asymmetry. Symptoms and aesthetic results were assessed by questioning, photographs, and fluorescein and lissamine green stains taken in each visit.
No postoperative complications were observed. No recurrence episodes were reported during the follow-up period and physical appearance improvement and symptom severity reduction were maintained during the observation.
Lateral tarsal strip through osteotomies is an effective surgical procedure for treating severe recurrent ectropion cases or lower eyelid laxity and could be considered as an alternative treatment option or even a primary surgical technique in selected difficult cases.
介绍一种治疗复发性睑外翻和严重下睑松弛患者的手术技术。
对6例复发性睑外翻患者和1例因无眼球眼眶继发的极度下睑松弛患者实施外侧睑板条联合截骨内眦固定术。评估术前和术后照片以评估手术效果。在术后4周、6个月、12个月和24个月对患者进行随访。患者的初始症状为眼红、溢泪、异物感、美观问题和面部不对称。每次随访时通过询问、拍照以及使用荧光素和丽丝胺绿染色来评估症状和美观效果。
未观察到术后并发症。随访期间未报告复发情况，观察期间外观改善和症状严重程度减轻得以维持。
经截骨的外侧睑板条手术是治疗严重复发性睑外翻病例或下睑松弛的有效手术方法，在某些困难病例中可被视为一种替代治疗选择甚至主要手术技术。
