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1990～1994年,我们采用改良睑缘后退术治疗沙眼性睑内翻倒睫74例(126眼),对其中71例(121眼)进行随访,疗效满意。现报告如下。 资料与方法:本组男21例,女50例;年龄28～74岁,平均59岁。轻度瘢痕致睑内翻倒睫89眼,重度瘢痕致睑板变形23眼,合并沙眼性上睑下垂4眼,睑球后粘连5眼,经其它手术治疗后复发13眼。 手术方法:采用2％利多卡因及1‰肾上腺素于眼睑皮下及结膜下浸润麻醉。先用睑板牵拉器翻转上睑,再于睑缘后2mm处沿外眦至泪点内侧水平切开睑结膜及睑板(勿伤及泪点)。沿此切口向下劈开睑板至睑缘部,向上剖切剥离睑板,并切断部分附着于睑板的提上睑肌。用6—0细丝线双针缝合,从切口上2mm结膜睑板面穿入,灰线上皮肤穿出,水平褥式缝合2～3针。从中间到两侧开始打结,松紧度以睑缘处被剖切的睑板翻转向外近90°为准。术后用绷带包扎术眼,24小时后开放点眼(用四环
From 1990 to 1994, we treated 74 patients (126 eyes) with traumatic ocular inverted trichiasis by modified eyelid retraction, and 71 of them (121 eyes) were followed up with satisfactory results. The report is as follows. Materials and Methods: The group of 21 males and 50 females; aged 28 to 74 years, mean 59 years. There were 89 eyes with mild scarring, 2 cases with severe scarring and 23 cases with tarsal deformation, 4 eyes with trachoma ptosis, 5 eyes with posterior symblepharon, and 13 eyes after other surgeries. Surgical methods: 2% lidocaine and 1 ‰ adrenaline in the eyelid subconjunctival and subconjunctival infiltration anesthesia. First tarsus retractor upper eyelid, and then along the eyelid 2mm at the level of the eyelid to the inside of the tear open the conjunctiva and tarsus (do not hurt the punctum). Along the incision, the tarsus is split down to the eyelid, the tarsal incision is dissected upward, and the levator muscle attached to the tarsus is cut off. With 6-0 filament double needle suture, from the incision 2mm conjunctival tarsal surface penetration, gray line on the skin piercing, horizontal mattress suture 2 to 3 needles. Starting from the middle to both sides of the knot, tightness at the eyelid was cut off the tarsal outward nearly 90 ° shall prevail. Bandage bandage surgery after surgery, open eyes after 24 hours (with rings