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眼瞼分離併全層前板切除用於倒睫的治療

Lid Splitting with Anterior Lamella Resection for Trichiasis

摘要


從灰線將眼瞼分離,並將包含睫毛的前板切除,對於治療倒睫毛,是一種簡便但極為有效的手術方式。我們在17位(28眼)的倒睫毛患者施行此種手術,追蹤長達16個月,並得到令人滿意的結果。

關鍵字

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並列摘要


Trichiasis results from lid inflammation, trauma, surgery, or idiopathic cause. Methods of treatment include epilation, electrolysis, cryotherapy, argon laser ablation or wedge resection. However, we introduce a simple and effective treatment for trichiasis. We split the lid margin at the gray line with resection of the lash-bearing anterior lamella. Advance the remaining skin-muscle flap to cover all but the distal 2 to 3 mm of the anterior tarsal surface. Seventeen patients with mild to severe trichiasis were repaired by this technique between September 1990 and May 1995. Follow-up ranged from 3 months to 5 years. Of the 17 patients, 16 had excellent results as defined by a complete resolution of symptoms and no regrowth of lashes. Only one patient had a partial regrowth of lashes. The cosmetic results were good and no patient was displeased with the appearance.

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