Payer G, Payer H
Klin Monbl Augenheilkd. 1978 Apr;172(4):419-25.
In cases of senile entropium we prefer an operation method, which attempts to exclude the aetiologic factors of these senile alterations. The tension of the tarsus must be increased and the muscle of the orbicularis at the palpebral margin must be reduced and retightened over the convex margin of the tarsus. It is not of less importance to correct the reduced elasticity of the fascia tarsoorbitalis. These corrections are achieved by a perforating rhomboid excision of the lower eyelid. The operation is performed with the use of a Chalazion forceps (Desmarres) which steps all bleeding. The method of operation was successful in all 34 cases and achieved good functional and cosmetic results. Recurrences were not observed.
对于老年性睑内翻病例，我们倾向于采用一种手术方法，该方法试图排除这些老年性改变的病因。必须增加睑板的张力，并且必须减少睑缘轮匝肌，并在睑板的凸缘上重新收紧。矫正睑板眶筋膜弹性降低同样重要。这些矫正通过下眼睑的菱形穿孔切除术来实现。手术使用睑板腺囊肿镊（德马雷氏镊）进行，可止住所有出血。该手术方法在所有34例病例中均成功，并取得了良好的功能和美容效果。未观察到复发情况。
