Anderson R L, Harvey J T
Arch Ophthalmol. 1981 Apr;99(4):631-4. doi: 10.1001/archopht.1981.03930010631008.
Congenital distichiasis is a rare condition with an accessory row of lashes at the Meibomian gland orifices. We suggest "acquired distichiasis" as an appropriate term for the accessory row of lashes in or near the Meibomian gland orifices, occurring as a result of such conditions as Stevens-Johnson syndrome, ocular pemphigoid, or chemical and physical injuries. We report a new treatment technique in which the eyelid is divided along the gray line then followed by cryotherapy to the posterior lid lamella. This removes the distichiatic lashes without damaging the normal lashes in the anterior lid lamella and avoids depigmentation. Histologic examination demonstrates the aberrant lashes result from a metaplasia of tissues in or around the Meibomian glands. Thirteen eyelids with acquired distichiasis and four eyelids with congenital distichiasis have been followed up for eight to 48 months. All have been greatly improved.
先天性双行睫是一种罕见的病症，在睑板腺开口处有一排副睫毛。我们建议将“后天性双行睫”作为一个合适的术语，用于描述因史蒂文斯-约翰逊综合征、眼部类天疱疮或化学及物理损伤等情况，在睑板腺开口处或其附近出现的副睫毛排。我们报告一种新的治疗技术，即沿睑缘灰线切开眼睑，然后对睑后板进行冷冻治疗。这样可以去除双行睫的睫毛，而不损伤睑前板的正常睫毛，并且避免色素脱失。组织学检查表明，异常睫毛是由睑板腺内或其周围组织化生所致。对13只患有后天性双行睫的眼睑和4只患有先天性双行睫的眼睑进行了8至48个月的随访。所有病例均有显著改善。
