Nowinski T S, Anderson R L
Arch Ophthalmol. 1985 Nov;103(11):1750-3. doi: 10.1001/archopht.1985.01050110146045.
Involutional medial ectropion responds poorly to traditional ectropion procedures. Eversion of the lacrimal punctum must be functionally corrected to reestablish normal corneal wetting physiology as well as tear-lake drainage. We describe our retropunctal approach with emphasis on a new, enhanced closure that utilizes the lower eyelid retractors. This stabilizes the medial eyelid margin in order to obtain and maintain good functional and cosmetic results. This procedure allows a predictable anatomic approach that is easily performed and can be combined with other procedures, such as a lateral tarsal strip, medial canthal tendon plication, or skin graft or flap, when required.
退行性内翻性睑外翻对传统睑外翻手术反应不佳。必须对泪小点外翻进行功能性矫正，以重建正常的角膜湿润生理以及泪湖引流。我们描述了我们的泪小点后入路方法，重点是一种新的、改良的利用下睑缩肌的闭合方法。这可稳定睑内侧缘，以获得并维持良好的功能和美容效果。该手术允许采用可预测的解剖入路，操作简便，并且在需要时可与其他手术联合进行，如外侧睑板条手术、内眦腱折叠术或皮肤移植或皮瓣手术。
