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目的:观察眼轮匝肌缩短转位术治疗老年性下睑内翻的临床疗效。方法:本组70例80眼老年性下睑内翻均施行下睑板前眼轮匝肌缩短转位术,其中15例曾行下睑穹窿皮肤缝线术后复发。结果:本组70例80眼1次矫正成功。术后下睑缘位置恢复正常,无过矫、欠矫现象。9例角膜上皮部分脱落者l～2天上皮完全恢复,随访3个月～6年,手术成功率达100%,无任何并发症。结论:眼轮匝肌缩短转位术是治疗老年性下睑内翻的一种新的有效术式,适用于多种致病原因的老年性下睑内翻,手术操作简单易行。
Objective: To observe the clinical efficacy of orbital muscle shortening transposition in the treatment of senile lower entropion. Methods: Seventy eyes of 80 cases with senile lower entropion were treated with shortening and transposition of the inferior tarsal orbicularis oculi muscle. Among them, 15 cases had recurrence of the lower eyelid vault skin suture. Results: 70 eyes of 70 eyes were successfully corrected in one time. Posterior eyelid edge position returned to normal, no overcorrection, undercorrection phenomenon. Nine cases of corneal epithelial shedding l ~ 2 days epithelial complete recovery, followed up for 3 months to 6 years, the success rate of 100% surgery, without any complications. Conclusion: Orbicularis oculi shortened transposition is a new and effective operative method for the treatment of senile lower eyelid varus. It is suitable for senile entropion of multiple etiologies, and the operation is simple and easy to operate.