改良手术方式治疗先天性下睑内翻合并内眦赘皮

Modified surgical procedures for congenital entropion of lower eyelid with epicanthus

目的探讨合并内眦赘皮的儿童先天性下睑内翻的不同发病机制及对症治疗的效果。方法35例(68只眼)儿童先天性下睑内翻合并内眦赘皮,年龄3~15岁。根据不同的临床类型实施不同的手术方法予以矫正。结果无明显内眦赘皮或合并轻度内眦赘皮的先天性下睑内翻者行单纯下睑内翻矫正术10例(18只眼),先天性下睑内翻合并逆向型内眦赘皮者行L型切口内眦赘皮矫正+下睑内翻矫正术11例(22只眼),先天性下睑内翻合并非逆向型内眦赘皮者行Y-V型切口内眦赘皮矫正+下睑内翻矫正术14例(28只眼)。术后随访2~6个月,100%的患眼下睑内翻得到完全矫正。结论儿童先天性下睑内翻合并内眦赘皮者根据其临床体征的不同,采取个性化的治疗,方能达到最佳的治疗效果。

Objective To investigate the pathogenesis and surgical methods for congenital entropion of lower eyelid with epicanthus in children.Methods The study included 68 eyes from 35 children with pediatric congenital entropion of lower eyelid and epicanthus,the age range was 3 to 15 years old.According to different clinical manifestations,different surgical methods were used for correction.Results 18 eyes from 10 children with congenital entropion of lower eyelid cases without or with slight epicanthus were treated by simple lower eyelid correction.11 children(22 eyes)who were diagnosed with congenital entropion and reverse epicanthus were treated with correction of lower eyelid entropion combined with L-shaped incision epicanthus correction.Correction of lower eyelid entropion combined with Y-V epicanthus correction were performed on 14 children(28 eyes)who were diagnosed with congenital entropion and non-reverse epicanthus.After 2 to 6 months follow-up,all patients with ectropion were corrected completely.Conclusions Congenital entropion of lower eyelid with epicanthus in children should be treated by personalized surgical methods based on its pathogenesis and clinical manifestations to achieve the optimal clinical efficacy.