Thommy C P
Br J Ophthalmol. 1981 Mar;65(3):198-201. doi: 10.1136/bjo.65.3.198.
In the management of trachomatous cicatricial entropion and trichiasis numerous surgical options are available to the surgeon, who, however, must choose the correct technique suitable to the severity of the condition. In general, severe cases do better with a graft of mucous membrane or skin. In this paper the use of another graft material, homologous sclera, in correcting entropion and trichiasis is discussed. A 1.5 to 2 mm wide strip of fresh or preserved sclera was used as an inlay in a grey-line split technique with severance of pretarsal and Riolan's fibres in 155 entropion corrections in 136 patients. There was a success rate of 92.3% during the observation period of 15 months. Isolated trichiatic lashes were seen in 7.7%. Minor complications occurred, such as granulomas and partial sloughing of grafts, but did not affect the ultimate results.
在沙眼性瘢痕性睑内翻和倒睫的治疗中，外科医生有多种手术选择，然而，医生必须选择适合病情严重程度的正确技术。一般来说，严重病例采用黏膜或皮肤移植效果更好。本文讨论了另一种移植材料——同种异体巩膜在矫正睑内翻和倒睫中的应用。在136例患者的155次睑内翻矫正手术中，采用1.5至2毫米宽的新鲜或保存巩膜条带，通过灰线劈开技术嵌入，并切断睑板前和里奥朗纤维。在15个月的观察期内，成功率为92.3%。7.7%的患者出现孤立的倒睫。出现了一些轻微并发症，如肉芽肿和移植片部分脱落，但未影响最终结果。
