先天性睑内翻的手术治疗进展

Progress in surgical treatment of congenital entropion

先天性睑内翻常发生于婴幼儿,主要见于下睑及内眦部,表现为眼睑内翻内卷,伴随睫毛失去正常的角度而倒向眼球的一种不正常状态。先天性睑内翻不及时治疗会导致角膜上皮擦伤、炎症、溃疡等进而影响眼部功能,早期及时的手术干预有助于患儿的眼部健康。手术的目的是通过改变眼睑的结构,减弱内翻的力量,从而改善症状及角膜散光等。目前,先天性睑内翻的手术治疗方式有多种,本文着重针对先天性睑内翻各种手术治疗方式的优缺点和适应证进行分析和总结,为临床实践提供参考。

Congenital entropion,an abnormal condition in which the eyelids roll inward,with the eyelashes losing their normal angulation and tilting toward the eye,especially in the lower eyelids and inner canthus,often occurs in infants and young children.Congenital entropion may lead to corneal epithelial abrasion,inflammation and ulcer,which may affect the function of the eye if not treated in time.Early surgical intervention is helpful to the health of children’s eyes.The purpose of surgery is to change the structure of eyelid and weaken the force of entropion,thus improving the symptoms and corneal astigmatism.At present,there are many surgical treatments for congenital entropion.In this paper,the advantages,disadvantages and indications of these treatments are analyzed and summarized,providing a reference for clinical practice.