摘要
目的探讨睑缘前层后退治疗复发性上睑倒睫的疗效。方法在倒睫区域自睑缘灰线处劈开，使其分为前层的眼睑皮肤与眼轮匝肌和后层的睑板与睑结膜层。切开的长度需超过倒睫区域外3～4毫米，深度达4-5毫米，使得前层睑缘在原睑缘的上方错位并将倒睫区域充分向后退至距离原睑缘3～5毫米处固定于局部睑板浅层。根据是否合并睫毛乱生及上睑皮肤松垂可同时做睫毛毛囊剔出或上睑皮肤松垂矫正。结果随访6-12个月，本组18例32眼，除2例术后2个月因2～3根睫毛乱生经显微镜下睫毛毛囊剔出术后治愈，其余倒睫患者均获得完全矫正，随访期内未见复发及眼睑外形和位置的改变。结论睑缘前层后退术操作简便，可以重复，对睑板组织损伤小，是治疗复发性上睑倒睫较好的一种手术方法。
OBJEVTIVE To evaluate the operation of retrodisplacement of eyelid limbi＇s anterior layer for treatment of upper eyelid＇s recurrent trichiasis. METHORDS Made incision along the gray line, split the eyelid margin at a 4-5mm depth and 3-4mm length more than the trichiasis area. The eyelid margin was divided into two layers with the anterior layer（include eyelid skin and orbicularis oculi muscle） and posterior layer（include tarsal plate and conjunctiva）. Shift the anterior layer upward to 3-Smm apart from the margin and then fixed it to the surface of the tarsal plate. RESULTS Eighteen cases with 32 eyes were operated and followed-up for 6-12 months. All cases were cured and no secondary ectropion and abnormal position of eyelid. CONCLUSIONS The operation of retrodisplacement of eyelid limbi＇s anterior layer is an effective method for treatment of upper eyelid＇s recurrent trichiasis.
出处
《中国中医眼科杂志》
2013年第5期350-352,共3页
China Journal of Chinese Ophthalmology
关键词
睑缘前层后退术
复发性倒睫
retrodisplacement of eyelid limbi ＇ s anterior layer
recurrent trichiasis
