改良外眦韧带缩短联合眼轮匝肌缩短术治疗退行性下睑内翻的效果  

Efficacy of combined operation of lateral canthoplasty and orbicularis oculi shortening on involutional lower eyelid entropion

作　　者：孟昭君 陈涛 

机构地区：[1]首都医科大学附属北京同仁医院北京同仁眼科中心眼科学与视觉科学北京市重点实验室,100730

出　　处：《眼科》2017年第6期411-413,共3页Ophthalmology in China

摘　　要：目的探讨改良外眦韧带缩短联合眼轮匝肌缩短术治疗退行性下睑内翻的效果。设计回顾性病例系列。研究对象北京同仁医院79例(118眼)退行性下睑内翻患者。方法对所有患者行改良外眦韧带缩短联合眼轮匝肌缩短术,术后随访12个月,对手术效果(眼睑位置、形态、有无溢泪)及复发率进行评估。主要指标手术效果和复发率。结果末次随访时,117眼治愈,其中3眼术后早期出现轻度过矫,3眼中2眼眼睑位置形态于术后3个月恢复正常,另1眼于术后6个月恢复正常。1眼复发。结论随访1年的结果显示,改良外眦韧带缩短联合眼轮匝肌缩短术治疗退行性下睑内翻效果确切,治愈率高,复发率低。Objective To evaluate the efficacy of the combined entropion repair for lower eyelid involutional entropion： lateral canthoplasty and shortening of the orbicularis oculi. Design Retrospective case series. Participants 79 patients （118 eyes） with lower eyelid involutional entropion underwent the combined procedure in Beijing Tongren Eye Center. Method Surgical technique included lateral canthoplasty and shortening of the orbicularis oculi. Effect of surgery （morphology of eyelid, position of eyelid, with or without epiphora） and recurrence were evaluated during the follow-up time of 12 months. Main Outcome Measures Effect of the surgery and recurrence. Results 117 eyes were cured and one case relapsed during 12 months follow-up. Three cases were over-corrected during early stage postoperatively. Morphology and position of eyelids of two cases recovered after 3 months, and the remaining one case recovered after 6 months. Conclusion The combined surgery which address several pathogenic agents is effective for the correction of involutional entropion during 12 months follow-up.

关 键 词：老年性睑内翻/外科学 外眦成形术 眼轮匝肌缩短术 

分 类 号：R779.6[医药卫生—眼科]