外侧睑板条悬吊联合下睑缩肌前徙术治疗老年性睑内翻

Operation of strengthening lateral tarsal strip and advancing lower eyelid retractor to treat senile entropion

摘要:

目的:观察和评价外侧睑板条悬吊联合下睑缩肌前徙术治疗老年复杂性睑内翻的方法及疗效。方法:老年性睑内翻患者主要病因有:眼睑松弛、下睑缩肌张力降低、眼轮匝肌变化,根据病因选择患者使用外侧睑板条悬吊联合下睑缩肌前徙术,术中观察眼睑位置不可过度外翻。结果:本组19例31眼诊断老年复杂性睑内翻的患者行外侧睑板条悬吊联合下睑缩肌前徙术,随访8～50mo,疗效确切。结论:外侧睑板条悬吊联合下睑缩肌前徙术是治疗老年复杂性睑内翻的有效方法。

Abstract:

AIM:To observe and evaluate the effect and possibility of operation of strengthening lateral tarsal strip and advancing lower eyelid retractor to treat senile entropion. METHODS: Senile entropion was caused by three different pathological mechanisms: loss of lid laxity, loss of tension of lower lid retractors and alterations to the musculus orbicularis. These can be corrected with the procedures developed by strengthening lateral tarsal strip and advancing lower eyelid retractor. The surgeon should be careful to avoid an overcorrection with iatrogenic ectropion。RESULTS:Thirty-one eyes (19 patients) with senile entropion were operated strengthening lateral tarsal strip and advancing lower eyelid retractor. After a mean follow-up of 8-50 months, the effects were satisfactory.CONCLUSION: Operation of strengthening lateral tarsal strip and advancing lower eyelid retractor is effective for treating senile entropion. 