Yung C W, Massicotte S J, Kuwabara T
Department of Ophthalmology, Indiana University School of Medicine, Indianapolis 46202.
Ophthalmic Plast Reconstr Surg. 1994 Jun;10(2):130-6. doi: 10.1097/00002341-199406000-00011.
Trichiasis is a common condition of multiple etiologies. Cryosurgery has been advocated as an effective means of treatment but may be associated with serious complications, including scar, skin depigmentation, and lid notching. We treated eight consecutive eyelids with the argon laser. At the end of a 3-month follow-up period, no recurrence was noted. The only observed complication was mild eyelid notching in one eyelid. Histopathologic evaluation of two specimens obtained 10 days and 5 weeks after laser treatment confirmed the highly localized coagulative effect of the laser with minimum destruction of adjacent tissues. Orientation of the eyelid so that the laser beam and the lash follicle are coaxial and careful measurement of the depth of vaporization of the lash follicle are important in confirming complete treatment and minimizing recurrence.
倒睫是一种由多种病因引起的常见病症。冷冻手术已被视为一种有效的治疗手段，但可能会引发严重并发症，包括瘢痕、皮肤色素脱失和眼睑切迹。我们连续对8只眼睑进行了氩激光治疗。在3个月的随访期结束时，未发现复发情况。唯一观察到的并发症是一只眼睑出现轻度眼睑切迹。对激光治疗后10天和5周获取的两份标本进行组织病理学评估，证实了激光具有高度局限性的凝固作用，对相邻组织的破坏最小。使眼睑处于激光束与睫毛毛囊同轴的位置，并仔细测量睫毛毛囊的汽化深度，对于确保彻底治疗并减少复发至关重要。
