目的:观察比较皮肤眼轮匝肌切除法,眼轮匝肌缩短法(wheeler法),改良式老年性睑内翻矫正术3种不同术式治疗老年性睑内翻的疗效。方法:回顾本医院眼科2000-01/2007-12间治疗的老年性睑内翻患者资料,分析比较皮肤眼轮匝肌切除法,眼轮匝肌缩短法,改良式老年性睑内翻矫正术3种不同术式的疗效,复发率及并发症。结果:皮肤眼轮匝肌切除组,眼轮匝肌缩短组和改良式老年性睑内翻矫正术组治愈率分别为86.2%,94.1%,97.1%,复发率分别为17.2%,8.8%,1.4%。眼轮匝肌缩短组有6例术后发生睑裂不对称或泪小点移位并发症。结论:单纯皮肤眼轮匝肌切除法治疗老年性睑内翻复发率高,而眼轮匝肌缩短法容易产生外观不对称并发症。改良式老年性睑内翻矫正术安全可行,不易复发,对复发性睑内翻亦有效,值得推广。

·AIM:To investigate and compare the effect of three different surgical methods for treatment of senile inferior entropion,including excision of skin and orbicularis oculi,shorting of orbicularis oculi(wheeler surgery)and modified correction for senile entropion.·METHODS:Clinical data of patients with senile inferior entropion between January 2000 and December 2007 in our department were reviewed retrospectively.The therapeutic effect,recurrence rate and complications of the three surgical methods were analyzed and compared.·RESULTS:The cure rates of skin and orbicularis oculi excision group,wheeler surgery group and modified orthopaedics group were 86.2%,94.1%,97.1% respec-tively,and the recurrence rates were 17.2%,8.8%,1.4% respectively.6 cases treated by wheeler surgery had complications of dissymmetrical eyes appearance or lacrimal puncticulum shifting after surgery.·CONCLUSION:For the treatment of senile inferior entropion,excision of skin and orbicularis oculi may have higher recurrence rate,and wheeler surgery may induce complications of dissymmetrical eyes appearance,while modified orthopaedics is safe and feasible,negative for recurrence,and also effective for recurring entropion.·

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