内眦皮肤重置法对伴有内眦赘皮的下睑倒睫患者的矫治效果

Effects of epicanthoplasty on trichiasis of the lower eyelids with epicanthus

目的观察内眦皮肤重置法对伴有内眦赘皮的下睑倒睫患者的矫治效果。方法于2010年2月至2015年10月对北京同仁医院整形美容中心收治72例伴有内眦赘皮的下睑倒睫患者采用内眦皮肤重置法进行矫正，其中男42例，女30例；年龄8-58岁；双眼64例，单眼8例，共136眼。其中3例为术后复发者，原手术具体情况不详。术后分别在1、3和12个月随访并记录满意度。结果术后9例失访，63例患者随访患者眼睑形态良好，睑缘平复、弧度自然，切口瘢痕不明显，治愈率98.4%；患者术后1、3和12个月满意率分别为95.3%、95.2%和96.9%。其中3例下睑轻度退缩，下睑倒睫均获得矫正。结论内眦重置法是矫正伴有内眦赘皮的下睑倒睫的良好方法。

Objective To investigate the effects of epicanthoplasty on the trichiasis caused by the entropion of lower eyelid with epicanthus. Methods Epicanthoplasty was used to correct the trichiasis of lower eyelid with epicanthus from February 2010 to October 2015. Total of 72 patients were enrolled in this study, among whom 42 were male and 30 were female, and aged 8 to 58 years. Among those patients, 64 cases were found with bilateral trichiasis and 8 patients with unilateral trichiasis. And 3 cases received secondary operations for recurrence. All patients were followed-up at 1, 3 and 12 months after the operation for therapeutic evaluation. Results A total of sixty-three patients completed the follow-up study with 9 withdrew. The trichiasis was corrected with the satisfied palpebral appearance. And the cure rate was 98.4%. Of the patients, 95.3%, 95.2% and 96. 9% were satisfied with the effects of the operations at 1, 3 and 12 months postoperatively. Mild retraction of lower eyelid occurred in only 3 patients. Conclusion Epicanthoplasty is a simple and effective method to correct the trichiasis with epicanthus.